A Family First Community Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A FAMILY FIRST COMMUNITY SERVICES, LLC

Practice address

2193 Northlake Pkwy
Suite 25
Tucker, GA 30084-4116

Phone

(770) 414-9676

Fax

(770) 414-8415

NPI assigned

Jun 25, 2008

Organization subpart

No

Name

Mrs. Subrinia Blanchard

Title

Ceo

Phone

(770) 414-9676

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2008.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1346401064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 NORTHLAKE PKWY",
            "address_2": "SUITE 25",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844116",
            "telephone_number": "770-414-9676",
            "fax_number": "770-414-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 NORTHLAKE PKWY",
            "address_2": "SUITE 25",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844116",
            "telephone_number": "770-414-9676",
            "fax_number": "770-414-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FAMILY FIRST COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "SUBRINIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-414-9676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839321842A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.