Provider Demographics
NPI:1952475873
Name:FAMILY FIRST, INC.
Entity Type:Organization
Organization Name:FAMILY FIRST, INC.
Other - Org Name:LYDIA'S HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:757-773-1301
Mailing Address - Street 1:893 LOS COLONIS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6419
Mailing Address - Country:US
Mailing Address - Phone:757-773-1301
Mailing Address - Fax:
Practice Address - Street 1:8458 PRIMROSE ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23503-4055
Practice Address - Country:US
Practice Address - Phone:757-588-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA67012001251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA67014001OtherDMHMRSAS