| Family Foundations | |
|
105 S 5th St Manassa CO 81141-5148 | |
| (719) 298-8222 | |
| Not Available |
| Full Name | Family Foundations |
|---|---|
| Speciality | Counselor - Professional |
| Location | 105 S 5th St, Manassa, Colorado |
| Authorized Official Name and Position | Andrew Jackson Jarvies (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7192988222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Foundations Po Box 657 Manassa CO 81141-0657 Ph: (719) 298-8222 | Family Foundations 105 S 5th St Manassa CO 81141-5148 Ph: (719) 298-8222 |
| NPI Number | 1699505776 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699505776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |