Provider Demographics
NPI:1548311996
Name:FAMILY THERAPY SERVICES
Entity type:Organization
Organization Name:FAMILY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:ARMAND
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DCSW
Authorized Official - Phone:301-387-7998
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:MC HENRY
Mailing Address - State:MD
Mailing Address - Zip Code:21541-0309
Mailing Address - Country:US
Mailing Address - Phone:301-387-7998
Mailing Address - Fax:301-387-7746
Practice Address - Street 1:19022 NATIONAL HWY NW
Practice Address - Street 2:
Practice Address - City:FROSTBURG
Practice Address - State:MD
Practice Address - Zip Code:21532-3127
Practice Address - Country:US
Practice Address - Phone:301-387-7998
Practice Address - Fax:301-387-7746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-14
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02567251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health