| Organization Name: | FAMILY AND CHILDREN SUPPORT, INC |
| NPI Number: | 1356716328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNEITH DURDEN (CEO) |
| Mailing Address: | 5910 Ga Highway 21 S Unit 6 Rincon |
| State: | GA US |
| Postal Code: | 313265505 |
| Phone Number: | 9129883649 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2015 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |