| Organization Name: | FAMILY SERVICE FOUNDATION, INC |
| NPI Number: | 1457675548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAPHNE SMITH (BILLING MANAGER) |
| Mailing Address: | 5301 76th Ave Landover |
| State: | MD US |
| Postal Code: | 207841703 |
| Phone Number: | 3014592121 |
| Fax Number: | 3019189757 |
| NPI Enumeration Date: | 03/18/2010 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | 4163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |