Organization Name: | HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, INC. |
NPI Number: | 1528105681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEWL K. DOTSON (EXEUCTIVE DIRECTOR) |
Mailing Address: | Rr 1 Box 136 Duffield |
State: | VA US |
Postal Code: | 242449622 |
Phone Number: | 2765232315 |
Fax Number: | 2765237015 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |