Provider Demographics
NPI:1891014460
Name:SUPPORTING KIDDS
Entity type:Organization
Organization Name:SUPPORTING KIDDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MBA
Authorized Official - Phone:302-235-5544
Mailing Address - Street 1:1213 OLD LANCASTER PIKE
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9560
Mailing Address - Country:US
Mailing Address - Phone:302-235-5544
Mailing Address - Fax:302-235-2672
Practice Address - Street 1:1213 OLD LANCASTER PIKE
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9560
Practice Address - Country:US
Practice Address - Phone:302-235-5544
Practice Address - Fax:302-235-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health