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Organization

FAMILY SERVICE FOUNDATION, INC

Active
Other names
FAMILY SERVICE OF PRINCE GEOGES COUNTY, INC
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA WALKER (CEO)
(301) 459-2121
Entity
Organization

Contact information

Practice address
5301 76TH AVE FL 3, HYATTSVILLE, MD 20784-1703
(301) 459-2121
Mailing address
5301 76TH AVE FL 3, HYATTSVILLE, MD 20784-1703
(301) 459-2121

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
2427
MD
103TR0400X
Rehabilitation Psychologist
5105
MD
103TR0400X
Rehabilitation Psychologist
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266681200
MD
05
312411800
MD
05
312411801
MD
05
319111700
MD
05
320741200
MD
05
589151500
MD
Enumeration date
05/16/2006
Last updated
11/12/2025
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