Provider Demographics
NPI: | 1124167648 |
---|---|
Name: | FAMILY BASED STRATEGIES, INC |
Entity type: | Organization |
Organization Name: | FAMILY BASED STRATEGIES, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | REGIONAL DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LAURA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ARMSTRONG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 336-299-6614 |
Mailing Address - Street 1: | 10304 SPOTSYLVANIA AVE |
Mailing Address - Street 2: | SUITE 300 |
Mailing Address - City: | FREDERICKSBURG |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22408-8602 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 540-710-6085 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 302 POMONA DR |
Practice Address - Street 2: | SUITE D |
Practice Address - City: | GREENSBORO |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27407-1663 |
Practice Address - Country: | US |
Practice Address - Phone: | 336-299-6614 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-05 |
Last Update Date: | 2007-08-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 8300633H | Other | INTENSIVE IN HOME |