Organization Name: | THE CHILD ADVOCACY CENTER, INC. |
NPI Number: | 1114123049 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA G. BROWN (OFFICE ADMINISTRATOR) |
Mailing Address: | 1033 E Walnut St Springfield |
State: | MO US |
Postal Code: | 658062604 |
Phone Number: | 4178312327 |
Fax Number: | 4178315122 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |