| Organization Name: | FAMILY DEVELOPMENT CENTER |
| NPI Number: | 1700258639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLENE STUTES (EXECUTIVE DIRECTOR) |
| Mailing Address: | 300 Jerrys Dr Roseburg |
| State: | OR US |
| Postal Code: | 974701132 |
| Phone Number: | 5416734354 |
| Fax Number: | 5412290623 |
| NPI Enumeration Date: | 10/30/2015 |
| NPI Last Update Date: | 10/30/2015 |
| 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: | |