Provider Demographics
NPI:1881837615
Name:FOSTER'S HOME FOR CHILDREN
Entity Type:Organization
Organization Name:FOSTER'S HOME FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CHILDREN'S SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:254-968-2143
Mailing Address - Street 1:PO BOX 978
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-0009
Mailing Address - Country:US
Mailing Address - Phone:254-968-2143
Mailing Address - Fax:
Practice Address - Street 1:1779 N GRAHAM ST
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-2201
Practice Address - Country:US
Practice Address - Phone:254-968-2143
Practice Address - Fax:254-968-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children