Provider Demographics
NPI:1770265860
Name:FAMILY AND CHILD GUIDANCE CENTERS
Entity type:Organization
Organization Name:FAMILY AND CHILD GUIDANCE CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:L
Authorized Official - Last Name:VIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:972-548-9484
Mailing Address - Street 1:1505 W JEFFERSON ST
Mailing Address - Street 2:STE 120 RM P
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165
Mailing Address - Country:US
Mailing Address - Phone:469-780-4880
Mailing Address - Fax:888-385-3128
Practice Address - Street 1:1505 W JEFFERSON ST
Practice Address - Street 2:STE 120 RM P
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:469-780-4880
Practice Address - Fax:888-385-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy