Provider Demographics
NPI:1700019148
Name:PUT FAMILY FIRST
Entity Type:Organization
Organization Name:PUT FAMILY FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCHETTE
Authorized Official - Middle Name:REBBECCA
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:804-658-4626
Mailing Address - Street 1:5516 FALMOUTH ST
Mailing Address - Street 2:103
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1819
Mailing Address - Country:US
Mailing Address - Phone:804-658-4626
Mailing Address - Fax:
Practice Address - Street 1:5516 FALMOUTH ST
Practice Address - Street 2:103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1819
Practice Address - Country:US
Practice Address - Phone:804-658-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health