Provider Demographics
NPI:1265882112
Name:FAMILY NETWORK SERVICES
Entity type:Organization
Organization Name:FAMILY NETWORK SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:BROOKS
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-989-2867
Mailing Address - Street 1:4968 ERIN RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7809
Mailing Address - Country:US
Mailing Address - Phone:404-989-2867
Mailing Address - Fax:
Practice Address - Street 1:1425 I85 PKWY
Practice Address - Street 2:STE-A
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2860
Practice Address - Country:US
Practice Address - Phone:404-989-2867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health