Organization
FAMILY SERVICE SOCIETY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOMINISSE (CEO)
(765) 662-9971
Entity
Organization
Contact information
Practice address
101 S WASHINGTON ST, SUITE 200, MARION, IN 46952-3867
(765) 662-9971
(765) 651-6563
Mailing address
101 S WASHINGTON ST, SUITE 200, MARION, IN 46952-3867
(765) 662-9971
(765) 651-6563
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124250
—
IN
Enumeration date
01/11/2007
Last updated
07/28/2020
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