| Family Services, Inc. | |
|
615 N 18th St Lafayette IN 47904-3410 | |
| (765) 423-5361 | |
| (765) 742-8272 |
| Full Name | Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 615 N 18th St, Lafayette, Indiana |
| Authorized Official Name and Position | Rebecca Sullivan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7654235361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services, Inc. 615 N 18th St Lafayette IN 47904-3410 Ph: (765) 423-5361 | Family Services, Inc. 615 N 18th St Lafayette IN 47904-3410 Ph: (765) 423-5361 |
| NPI Number | 1124420757 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 09/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124420757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 33006734A (Indiana) | Primary |
| 251S00000X | Community/behavioral Health | 39934 (Texas) | Secondary |
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