Provider Demographics
NPI:1023426624
Name:UNLIMITED FAMILY SERVICES LLC
Entity type:Organization
Organization Name:UNLIMITED FAMILY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:NICHOLA
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-348-7326
Mailing Address - Street 1:PO BOX 330452
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06133-0452
Mailing Address - Country:US
Mailing Address - Phone:860-578-9179
Mailing Address - Fax:860-578-9179
Practice Address - Street 1:645 FARMINGTON AVE
Practice Address - Street 2:FLOOR 1
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2907
Practice Address - Country:US
Practice Address - Phone:860-578-9179
Practice Address - Fax:860-578-9179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-27
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000106251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health