Basic Information
| Provider Information | |||||||||
| NPI: | 1841750122 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAMILY CENTERS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 ARCH ST | ||||||||
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| City: | GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068306525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2038694848 | ||||||||
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| Practice Location | |||||||||
| Address1: | 60 PALMERS HILL RD | ||||||||
| Address2: | |||||||||
| City: | STAMFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 069022113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2033243167 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2019 | ||||||||
| LastUpdateDate: | 03/22/2019 | ||||||||
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| AuthorizedOfficialLastName: | MORROW | ||||||||
| AuthorizedOfficialFirstName: | TAMARA | ||||||||
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| AuthorizedOfficialTitleorPosition: | REVENUE CYCLE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2036292822 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QF0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) |
No ID Information.