Provider Demographics
NPI:1801612528
Name:STRENGTHENING FAMILIES BUILDING COMMUNITIES
Entity type:Organization
Organization Name:STRENGTHENING FAMILIES BUILDING COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KIZZY
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-868-7762
Mailing Address - Street 1:1120 MIDDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1120 MIDDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-2408
Practice Address - Country:US
Practice Address - Phone:443-868-7762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)