Provider Demographics
NPI:1215266002
Name:FRIEND OF A FRIEND YOUTH AND FAMILY SERVICES
Entity type:Organization
Organization Name:FRIEND OF A FRIEND YOUTH AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALECIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-292-8319
Mailing Address - Street 1:1011 MEREDITH DRIVE SUITE 6
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748
Mailing Address - Country:US
Mailing Address - Phone:512-292-8319
Mailing Address - Fax:512-292-8315
Practice Address - Street 1:1011 MEREDITH DR STE 6
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-3763
Practice Address - Country:US
Practice Address - Phone:512-292-8319
Practice Address - Fax:512-292-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health