Organization Name: | FAMILY AND CHILDREN SUPPORT, INC |
NPI Number: | 1558724047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RIPLEY JACKSON (CEO) |
Mailing Address: | 7306 Ga Highway 21 Ste 101-270 Port Wentworth |
State: | GA US |
Postal Code: | 314079274 |
Phone Number: | 4049092442 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2016 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |