Provider Demographics
NPI:1679705511
Name:WIN FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:WIN FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFORD
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-578-8003
Mailing Address - Street 1:2502 W NORTHERN PKWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4707
Mailing Address - Country:US
Mailing Address - Phone:410-578-8003
Mailing Address - Fax:410-578-0881
Practice Address - Street 1:2502 W NORTHERN PKWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4707
Practice Address - Country:US
Practice Address - Phone:410-578-8003
Practice Address - Fax:410-578-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00128253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency