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Contact Information

FAMILY SERVICE FOUNDATION, INC
306 DELAWARE ROAD
FREDERICK, MD21701-4618
 Phone: 301-378-0261
 Fax: 301-378-0267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FAMILY SERVICE FOUNDATION, INC

NPI Number 1093039182
LBN Legal business name FAMILY SERVICE FOUNDATION, INC
Authorized official DAPHNE SMITH - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2010
Last updated 09/19/2012 - About 14 years ago
Identifiers
MD License # 4163
MD Medicaid 320741200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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