Provider Demographics
NPI:1386704443
Name:D & K ON CALL THERAPEUTIC EDUCATIONAL RESOURCE SERVICES, INC.
Entity type:Organization
Organization Name:D & K ON CALL THERAPEUTIC EDUCATIONAL RESOURCE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:MACK
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-814-0330
Mailing Address - Street 1:PO BOX 31324
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28231-1324
Mailing Address - Country:US
Mailing Address - Phone:704-814-0330
Mailing Address - Fax:
Practice Address - Street 1:1428 ORCHARD LAKE DR
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-1474
Practice Address - Country:US
Practice Address - Phone:704-814-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health