Provider Demographics
NPI:1023684388
Name:ACTOS FAMILY SERVICES
Entity type:Organization
Organization Name:ACTOS FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:CATALINA
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:BSS
Authorized Official - Phone:214-283-9777
Mailing Address - Street 1:13526 CHALLABURTON DR
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-5030
Mailing Address - Country:US
Mailing Address - Phone:214-283-9777
Mailing Address - Fax:
Practice Address - Street 1:3924 PARKHAVEN DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-3424
Practice Address - Country:US
Practice Address - Phone:214-283-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services