Organization Name: | FORD FAMILY SERVICE, INC. |
NPI Number: | 1255529582 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILMA FORD (CEO) |
Mailing Address: | 1305 Panola Rd Stone Mountain |
State: | GA US |
Postal Code: | 300883303 |
Phone Number: | 7702354287 |
Fax Number: | 7704694536 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |