Provider Demographics
NPI:1396293205
Name:FAMILY BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:FAMILY BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADEGE
Authorized Official - Middle Name:N
Authorized Official - Last Name:FEVRY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:301-270-3200
Mailing Address - Street 1:1835 UNIVERSITY BLVD E STE 316
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4672
Mailing Address - Country:US
Mailing Address - Phone:301-270-3200
Mailing Address - Fax:301-270-4600
Practice Address - Street 1:1835 UNIVERSITY BLVD E STE 316
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4672
Practice Address - Country:US
Practice Address - Phone:301-270-3200
Practice Address - Fax:301-270-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-1965251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health