Provider Demographics
NPI:1104122258
Name:TEEN PREGNANCY PREVENTION INTERVENTION INC
Entity type:Organization
Organization Name:TEEN PREGNANCY PREVENTION INTERVENTION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:NORAINE
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:502-587-5001
Mailing Address - Street 1:332 W BROADWAY
Mailing Address - Street 2:SUITE 404
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2130
Mailing Address - Country:US
Mailing Address - Phone:502-587-5001
Mailing Address - Fax:502-587-5005
Practice Address - Street 1:332 W BROADWAY
Practice Address - Street 2:SUITE 404
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2130
Practice Address - Country:US
Practice Address - Phone:502-587-5001
Practice Address - Fax:502-587-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable