Organization
FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SULLIVAN LCSW (CHIEF EXECUTIVE OFFICER)
(765) 423-5361
Entity
Organization
Contact information
Practice address
615 N 18TH ST, LAFAYETTE, IN 47904-3410
(765) 423-5361
(765) 742-8272
Mailing address
615 N 18TH ST, LAFAYETTE, IN 47904-3410
(765) 423-5361
(765) 742-8272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
33006734A
IN
251S00000X
Community/Behavioral Health Agency
39934
TX
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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