| Organization Name: | FAMILY FIRST CENTER FOR AUTISM AND CHILD DEVELOPMENT, INC. |
| NPI Number: | 1154626893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FARRELL WEIERS (PRESIDENT/DIRECTOR) |
| Mailing Address: | 101 Nw Englewood Rd Suite 180 Gladstone |
| State: | MO US |
| Postal Code: | 641184054 |
| Phone Number: | 8168769352 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2011 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |