Provider Demographics
NPI:1255567111
Name:CHILD AND FAMILY FOCUS
Entity type:Organization
Organization Name:CHILD AND FAMILY FOCUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-833-1055
Mailing Address - Street 1:133 SAMARITAN DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2396
Mailing Address - Country:US
Mailing Address - Phone:770-833-1055
Mailing Address - Fax:877-498-0462
Practice Address - Street 1:133 SAMARITAN DR
Practice Address - Street 2:SUITE 303
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2396
Practice Address - Country:US
Practice Address - Phone:770-833-1055
Practice Address - Fax:877-498-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health