Provider Demographics
NPI:1730390162
Name:ALTERNATIVE FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:ALTERNATIVE FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS-AKYEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:916-202-7480
Mailing Address - Street 1:131B STONY CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-9507
Mailing Address - Country:US
Mailing Address - Phone:707-576-7700
Mailing Address - Fax:707-576-9700
Practice Address - Street 1:777 DAVIS ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-6923
Practice Address - Country:US
Practice Address - Phone:510-839-3800
Practice Address - Fax:510-839-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01DAMedicaid
CA07H2Medicaid
CA38GGMedicaid