Provider Demographics
NPI:1215246749
Name:CHILDREN'S ADVOCACY CENTER OF CALDWELL COUNTY, INC.
Entity type:Organization
Organization Name:CHILDREN'S ADVOCACY CENTER OF CALDWELL COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:STARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-754-6262
Mailing Address - Street 1:P.O. BOX 646
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-0646
Mailing Address - Country:US
Mailing Address - Phone:828-754-6262
Mailing Address - Fax:828-754-6265
Practice Address - Street 1:1051 HARPER AVE SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5092
Practice Address - Country:US
Practice Address - Phone:828-754-6262
Practice Address - Fax:828-754-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty