| Family Services, Inc | |
|
630 East Diamond Ave Gaithersburg MD 20877-5321 | |
| (301) 840-3292 | |
| (301) 963-6237 |
| Full Name | Family Services, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 630 East Diamond Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Kylie Mccleaf (CEO) |
| Authorized Official Contact | 3018403267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services, Inc 610 E Diamond Ave Suite 100 Gaithersburg MD 20877-5321 Ph: (301) 840-2000 | Family Services, Inc 630 East Diamond Ave Gaithersburg MD 20877-5321 Ph: (301) 840-3292 |
| NPI Number | 1295194371 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295194371 | NPI | - | NPPES |
| 1780641928 | Medicaid | MD | |
| 1518157965 | Medicaid | MD | |
| 1194115170 | Medicaid | MD | |
| 1437273372 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 588881600 (Maryland) | Primary |
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