Basic Information
| Provider Information | |||||||||
| NPI: | 1508141094 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONTEMPORARY FAMILY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6525 BELCREST RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | HYATTSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207822003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017798345 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 N THOMAS DR | ||||||||
| Address2: | SUITE A | ||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711076503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184248345 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2011 | ||||||||
| LastUpdateDate: | 10/15/2011 | ||||||||
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| AuthorizedOfficialLastName: | PIERCE | ||||||||
| AuthorizedOfficialFirstName: | COREY | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 2403752132 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | N | Agencies | Case Management | 251C00000X | N | Agencies | Day Training, Developmentally Disabled Services | 251E00000X | N | Agencies | Home Health | 252Y00000X | N | Agencies | Early Intervention Provider Agency | 253J00000X | N | Agencies | Foster Care Agency | 253Z00000X | N | Agencies | In Home Supportive Care | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.