Provider Demographics
NPI:1790988475
Name:FAMILIES FIRST
Entity type:Organization
Organization Name:FAMILIES FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:HAIDER-BARDILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CPCS, CMAC
Authorized Official - Phone:404-541-2223
Mailing Address - Street 1:2300 LAKE PARK DR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4076
Mailing Address - Country:US
Mailing Address - Phone:404-541-3007
Mailing Address - Fax:678-556-1974
Practice Address - Street 1:2300 LAKE PARK DR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4076
Practice Address - Country:US
Practice Address - Phone:404-541-3007
Practice Address - Fax:678-556-1974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCSW688251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health