Provider Demographics
NPI:1790818516
Name:FAMILY CENTERS INC
Entity type:Organization
Organization Name:FAMILY CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-629-2822
Mailing Address - Street 1:888 WASHINGTON BOULEVARD
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2902
Mailing Address - Country:US
Mailing Address - Phone:203-977-4848
Mailing Address - Fax:203-977-4946
Practice Address - Street 1:888 WASHINGTON BOULEVARD
Practice Address - Street 2:8TH FLOOR
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2902
Practice Address - Country:US
Practice Address - Phone:203-977-4848
Practice Address - Fax:203-977-4946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0434261QH0100X
CT0152261QH0100X
CT0245261QH0100X
CT0190261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004143947Medicaid
CT004143997Medicaid
CT004142444Medicaid
CT004144482Medicaid
CT004264248Medicaid