Provider Demographics
NPI:1356591606
Name:ALTERNATIVE FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:ALTERNATIVE FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS-AKYEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:916-202-7480
Mailing Address - Street 1:1421 GUERNEVILLE RD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-7220
Mailing Address - Country:US
Mailing Address - Phone:707-576-7700
Mailing Address - Fax:707-576-9700
Practice Address - Street 1:250 EXECUTIVE PARK BLVD
Practice Address - Street 2:#4600 & #4900
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-3394
Practice Address - Country:US
Practice Address - Phone:415-656-0116
Practice Address - Fax:415-656-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA38GSMedicaid