Provider Demographics
NPI:1386885754
Name:NACIA NATL ANTI-CRIME INST OF AMER
Entity type:Organization
Organization Name:NACIA NATL ANTI-CRIME INST OF AMER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:SR TEACHER/INSTRUCT
Authorized Official - Phone:417-832-1890
Mailing Address - Street 1:305 E WALNUT ST
Mailing Address - Street 2:STE 100/104
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65806-2301
Mailing Address - Country:US
Mailing Address - Phone:417-832-1890
Mailing Address - Fax:417-522-5234
Practice Address - Street 1:2733 E BATTLEFIELD ST # 226
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-3981
Practice Address - Country:US
Practice Address - Phone:417-832-1890
Practice Address - Fax:417-522-5234
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAVE-REACTING AGAINST VIOLENCE EVERYWHERE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOBUS2001-046201041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty