MEDICARE: INSTITUTE FOR FAMILY CENTERED SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1215210182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTE FOR FAMILY CENTERED SERVICES, INC.

Provider Business Mailing Address
First Line	:	3210 SKIPWITH RD
Second Line	:	SUITE B
City	:	HENRICO
State	:	VA
Zip	:	23294-4443
Country	:	US
Telephone Number	:	800-877-6054
Fax Number	:	804-346-0494

Provider Business Practice Location Address
First Line	:	313 CONGRESS ST
Second Line	:	5TH FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02210-1218
Country	:	US
Telephone Number	:	617-790-4908
Fax Number	:	617-790-4930

Authorized Official
Title or Position	:	VP & SR ASST GENERAL COUNSEL
Name	:	MARY PATRICIA RODENBERG-ROBERTS
Credential	:
Telephone Number	:	952-836-2234

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	05/07/2024

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