Provider Demographics
NPI:1104177336
Name:ALTERNATIVE FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:ALTERNATIVE FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS-AKYEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:916-202-7480
Mailing Address - Street 1:131B STONY CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-9507
Mailing Address - Country:US
Mailing Address - Phone:707-576-7700
Mailing Address - Fax:707-576-9700
Practice Address - Street 1:5167 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3343
Practice Address - Country:US
Practice Address - Phone:925-474-2154
Practice Address - Fax:925-474-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health