Provider Demographics
NPI:1013976752
Name:UNITED FAMILY RESOURCES P C
Entity Type:Organization
Organization Name:UNITED FAMILY RESOURCES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-559-4566
Mailing Address - Street 1:7516 RIGHT FLANK RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-3827
Mailing Address - Country:US
Mailing Address - Phone:804-559-4566
Mailing Address - Fax:804-559-1449
Practice Address - Street 1:7516 RIGHT FLANK RD
Practice Address - Street 2:SUITE 220
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3827
Practice Address - Country:US
Practice Address - Phone:804-559-4566
Practice Address - Fax:804-559-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C09747OtherMEDICARE GROUP NUMBER