Provider Demographics
NPI:1487983805
Name:FAFLI INC
Entity type:Organization
Organization Name:FAFLI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IGWILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-405-8556
Mailing Address - Street 1:1639 US HIGHWAY 74A BYP STE 150
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1880
Mailing Address - Country:US
Mailing Address - Phone:704-405-5886
Mailing Address - Fax:704-405-5887
Practice Address - Street 1:1639 US HIGHWAY 74A BYP STE 150
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1880
Practice Address - Country:US
Practice Address - Phone:704-405-5886
Practice Address - Fax:704-405-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty