Organization Name: | FAMILY COUNSELING SERVICE |
NPI Number: | 1255330874 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG CARL GROSS (OFFICE MANAGER) |
Mailing Address: | 535 W 2nd St Suite L50 Lexington |
State: | KY US |
Postal Code: | 405081284 |
Phone Number: | 8592330033 |
Fax Number: | 8592331269 |
NPI Enumeration Date: | 07/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |