Provider Demographics
NPI:1831579259
Name:FAMILY FIRST COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:FAMILY FIRST COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:QUILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-244-2036
Mailing Address - Street 1:12001 SW 128 COURT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4665
Mailing Address - Country:US
Mailing Address - Phone:786-429-1225
Mailing Address - Fax:305-602-5987
Practice Address - Street 1:12001 SW 128 COURT
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4665
Practice Address - Country:US
Practice Address - Phone:786-429-1225
Practice Address - Fax:305-602-5987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health