Provider Demographics
NPI:1528105681
Name:HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, INC.
Entity type:Organization
Organization Name:HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEUCTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEWL
Authorized Official - Middle Name:K
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:276-523-2315
Mailing Address - Street 1:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:DUFFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24244-0259
Mailing Address - Country:US
Mailing Address - Phone:276-523-2315
Mailing Address - Fax:276-523-7015
Practice Address - Street 1:RR 1 BOX 136
Practice Address - Street 2:
Practice Address - City:DUFFIELD
Practice Address - State:VA
Practice Address - Zip Code:24244-9622
Practice Address - Country:US
Practice Address - Phone:276-523-2315
Practice Address - Fax:276-523-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty