Provider Demographics
NPI:1396063624
Name:FAMILY SOLUTIONS SERVICES 1, INC.
Entity type:Organization
Organization Name:FAMILY SOLUTIONS SERVICES 1, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-541-0107
Mailing Address - Street 1:209 1ST ST NE
Mailing Address - Street 2:#105 PO BOX 258
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1456
Mailing Address - Country:US
Mailing Address - Phone:712-707-9222
Mailing Address - Fax:712-707-9220
Practice Address - Street 1:209 1ST ST NE
Practice Address - Street 2:#105
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1456
Practice Address - Country:US
Practice Address - Phone:712-707-9222
Practice Address - Fax:712-707-9220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health