Provider Demographics
NPI:1205488517
Name:ANOTHER CHOICE FOR BLACK CHILDREN, INC.
Entity type:Organization
Organization Name:ANOTHER CHOICE FOR BLACK CHILDREN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ODESSA
Authorized Official - Last Name:AMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:704-394-1124
Mailing Address - Street 1:3028 BEATTIES FORD RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-4267
Mailing Address - Country:US
Mailing Address - Phone:704-394-1124
Mailing Address - Fax:704-394-2645
Practice Address - Street 1:3028 BEATTIES FORD RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-4267
Practice Address - Country:US
Practice Address - Phone:704-394-1124
Practice Address - Fax:704-394-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency