Provider Demographics
NPI:1144523556
Name:FAMILY SUPPORT AND RESOURCE CENTER
Entity type:Organization
Organization Name:FAMILY SUPPORT AND RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-237-7630
Mailing Address - Street 1:101 NOB HILL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3969
Mailing Address - Country:US
Mailing Address - Phone:608-237-7630
Mailing Address - Fax:608-237-7524
Practice Address - Street 1:101 NOB HILL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-3969
Practice Address - Country:US
Practice Address - Phone:608-237-7630
Practice Address - Fax:608-237-7524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management