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FAMILY FIRST COMMUNITY SERVICES LLC NPI 1780871293


NPI Information

NPI: 1780871293
Provider Name: FAMILY FIRST COMMUNITY SERVICES, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2035577

Address:
3705 LATROBE DR
SUITE 340
CHARLOTTE, NC
ZIP 28211
Phone: (704) 364-3989
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FAMILY FIRST COMMUNITY SERVICES, LLC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY FIRST COMMUNITY SERVICES, LLC NPI is 1780871293. The provider is registered as an organization entity type.

The provider's business location address is:

3705 LATROBE DR
SUITE 340
CHARLOTTE, NC
ZIP 28211-824
Phone: (704) 364-3989
Fax: (704) 364-3974

The provider's authorized official is Michiko K Dowdy .
The authorized official title is Owner and has the following contact phone number (704) 364-3989.

The CLIA number assigned to this NPI record is 34D2035577 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 4/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261Q00000XClinic/CenterNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16006232MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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