Provider Demographics
NPI:1306687967
Name:FAMILY FIRST GENERATIONS LLC
Entity type:Organization
Organization Name:FAMILY FIRST GENERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HAITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, EDD
Authorized Official - Phone:336-858-7699
Mailing Address - Street 1:5510 TRADERS WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-5407
Mailing Address - Country:US
Mailing Address - Phone:336-858-7699
Mailing Address - Fax:
Practice Address - Street 1:1601 QUINCY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-3951
Practice Address - Country:US
Practice Address - Phone:336-340-1671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No385H00000XRespite Care FacilityRespite Care