Provider Demographics
NPI:1922292838
Name:CENTER FOR FAMILY CARE LLC
Entity Type:Organization
Organization Name:CENTER FOR FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:MCCLELLAND-SLADOVNIK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-750-1086
Mailing Address - Street 1:8330 MEADOW RD
Mailing Address - Street 2:114
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3767
Mailing Address - Country:US
Mailing Address - Phone:214-750-1086
Mailing Address - Fax:214-750-1971
Practice Address - Street 1:8330 MEADOW RD
Practice Address - Street 2:114
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3767
Practice Address - Country:US
Practice Address - Phone:214-750-1086
Practice Address - Fax:214-750-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty