| Organization Name: | FAMILY IMPACT INC |
| NPI Number: | 1174543789 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTH FELICIA MATTOCKS (PRESIDENT/HUMAN RESOURCE MANAGER) |
| Mailing Address: | 304 Turner Rd Suite C Richmond |
| State: | VA US |
| Postal Code: | 232256431 |
| Phone Number: | 8042761777 |
| Fax Number: | 8042761877 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |