Basic Information
| Provider Information | |||||||||
| NPI: | 1144596198 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONTEMPORARY FAMILY SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6525 BELCREST RD | ||||||||
| Address2: | SUITE SUITE G40 | ||||||||
| City: | HYATTSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207822003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2403751957 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 N THOMAS DR STE 1 | ||||||||
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| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711076503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184248345 | ||||||||
| FaxNumber: | 3184244417 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2012 | ||||||||
| LastUpdateDate: | 01/09/2019 | ||||||||
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| AuthorizedOfficialLastName: | MONROE | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | LEWIS | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2403751957 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 2203783493 | LA | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional | 251B00000X | DC | N | Agencies | Case Management | 251C00000X | DC | N | Agencies | Day Training, Developmentally Disabled Services | 251S00000X | DC | N | Agencies | Community/Behavioral Health | 261QM0801X | DC | N | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | 320800000X | DC | N | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 320900000X | N | Residential Treatment Facilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 320900000X | DC | N | Residential Treatment Facilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 324500000X | DC | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 324500000X | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 324500000X | 2203783493 | LA | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 3245S0500X | DC | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | 3245S0500X | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.