Provider Demographics
NPI:1871139741
Name:STRENGTHENING FAMILIES BUILDING COMMUNITIES
Entity type:Organization
Organization Name:STRENGTHENING FAMILIES BUILDING COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIZZY
Authorized Official - Middle Name:DIANNA
Authorized Official - Last Name:PITTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-949-6711
Mailing Address - Street 1:8307 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2961
Mailing Address - Country:US
Mailing Address - Phone:443-868-7762
Mailing Address - Fax:443-868-7642
Practice Address - Street 1:8307 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2961
Practice Address - Country:US
Practice Address - Phone:443-868-7762
Practice Address - Fax:443-868-7642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health