Healthcare Provider Details

I. General information

NPI: 1013337344
Provider Name (Legal Business Name): THE FAMILY JUNCTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MEMORIAL AVE
CUMBERLAND MD
21502-3767
US

IV. Provider business mailing address

PO BOX 697
CUMBERLAND MD
21501-0697
US

V. Phone/Fax

Practice location:
  • Phone: 301-777-2858
  • Fax: 301-777-5616
Mailing address:
  • Phone: 301-777-2858
  • Fax: 301-777-5616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELANIE MCDONALD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 301-777-2858