Provider Demographics
NPI:1881942548
Name:FAMILY TREE COMMUNITY SERVICES LLC
Entity type:Organization
Organization Name:FAMILY TREE COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PRESSLEY
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:HAMBRICK
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:832-657-5958
Mailing Address - Street 1:8531 WILD BASIN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-8019
Mailing Address - Country:US
Mailing Address - Phone:832-657-5958
Mailing Address - Fax:
Practice Address - Street 1:8531 WILD BASIN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-8019
Practice Address - Country:US
Practice Address - Phone:832-657-5958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management