Provider Demographics
NPI:1184145856
Name:COMMUNITY FAMILY LIFE SERVICES INC
Entity type:Organization
Organization Name:COMMUNITY FAMILY LIFE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCSWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MSOD
Authorized Official - Phone:202-347-0511
Mailing Address - Street 1:305 E ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-2711
Mailing Address - Country:US
Mailing Address - Phone:202-347-0511
Mailing Address - Fax:202-347-0520
Practice Address - Street 1:4860 FORT TOTTEN DR NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7518
Practice Address - Country:US
Practice Address - Phone:202-635-1745
Practice Address - Fax:202-635-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management