Provider Demographics
NPI:1720121445
Name:TLC FAMILY RESOURCE CENTER
Entity Type:Organization
Organization Name:TLC FAMILY RESOURCE CENTER
Other - Org Name:GOOD BEGINNINGS OF SULLIVAN COUNTY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROE-CASSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-542-1848
Mailing Address - Street 1:PO BOX 1098
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743
Mailing Address - Country:US
Mailing Address - Phone:603-542-1848
Mailing Address - Fax:603-542-1846
Practice Address - Street 1:109 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743
Practice Address - Country:US
Practice Address - Phone:603-542-1848
Practice Address - Fax:603-542-1846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30852982Medicaid
NH30552807Medicaid