Provider Demographics
NPI:1811324916
Name:ASSESS FOR SUCCESS
Entity type:Organization
Organization Name:ASSESS FOR SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAURENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MINIKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-528-0989
Mailing Address - Street 1:1605 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2639
Mailing Address - Country:US
Mailing Address - Phone:785-246-6128
Mailing Address - Fax:
Practice Address - Street 1:1605 SW 37TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2639
Practice Address - Country:US
Practice Address - Phone:785-246-6128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)