| Organization Name: | CHILDREN'S ADVOCACY CENTER OF SW FL, INC |
| NPI Number: | 1154324762 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL TURNER (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 3900 Broadway Ste B-1 Ft Myers |
| State: | FL US |
| Postal Code: | 339018193 |
| Phone Number: | 2399392808 |
| Fax Number: | 2399394794 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |