Provider Demographics
NPI:1861617490
Name:FAMILY SERVICE CENTER
Entity type:Organization
Organization Name:FAMILY SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:803-733-5450
Mailing Address - Street 1:PO BOX 7876
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-7876
Mailing Address - Country:US
Mailing Address - Phone:803-733-5450
Mailing Address - Fax:803-929-6699
Practice Address - Street 1:1800 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2433
Practice Address - Country:US
Practice Address - Phone:803-733-5450
Practice Address - Fax:803-929-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable