Provider Demographics
NPI:1699505776
Name:FAMILY FOUNDATIONS
Entity type:Organization
Organization Name:FAMILY FOUNDATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:JARVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-298-8222
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:MANASSA
Mailing Address - State:CO
Mailing Address - Zip Code:81141-0657
Mailing Address - Country:US
Mailing Address - Phone:719-298-8222
Mailing Address - Fax:
Practice Address - Street 1:105 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MANASSA
Practice Address - State:CO
Practice Address - Zip Code:81141-5148
Practice Address - Country:US
Practice Address - Phone:719-298-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty