| Organization Name: | FAMILY FIRST MEDICAL CENTER LLC |
| NPI Number: | 1093070773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA PILAR MOREIRA (OWNER) |
| Mailing Address: | 1203 Cleveland Ave Ste 1 East Point |
| State: | GA US |
| Postal Code: | 303443417 |
| Phone Number: | 4042091408 |
| Fax Number: | 4042091411 |
| NPI Enumeration Date: | 07/09/2012 |
| NPI Last Update Date: | 07/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TH0100X |
| License Number: | 08064086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |