Provider Demographics
NPI:1447659248
Name:FAMILY CRISIS CENTER OF THE BIG BEND, INC.
Entity type:Organization
Organization Name:FAMILY CRISIS CENTER OF THE BIG BEND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-837-7254
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:1412 W. BERLIN ST
Mailing Address - City:MARFA
Mailing Address - State:TX
Mailing Address - Zip Code:79843-0265
Mailing Address - Country:US
Mailing Address - Phone:432-729-4908
Mailing Address - Fax:432-729-3435
Practice Address - Street 1:1412 W. BERLIN STREET
Practice Address - Street 2:
Practice Address - City:MARFA
Practice Address - State:TX
Practice Address - Zip Code:79843
Practice Address - Country:US
Practice Address - Phone:432-729-4908
Practice Address - Fax:432-729-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)