Provider Demographics
NPI:1013397173
Name:PRESBYTERIAN CHILD WELFARE AGENCY
Entity Type:Organization
Organization Name:PRESBYTERIAN CHILD WELFARE AGENCY
Other - Org Name:BUCKHORN CHILDREN AND FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-666-4351
Mailing Address - Street 1:116 BUCKHORN LN
Mailing Address - Street 2:
Mailing Address - City:BUCKHORN
Mailing Address - State:KY
Mailing Address - Zip Code:41721-8987
Mailing Address - Country:US
Mailing Address - Phone:606-398-7000
Mailing Address - Fax:606-398-7912
Practice Address - Street 1:116 BUCKHORN LN
Practice Address - Street 2:
Practice Address - City:BUCKHORN
Practice Address - State:KY
Practice Address - Zip Code:41721-8987
Practice Address - Country:US
Practice Address - Phone:606-398-7000
Practice Address - Fax:606-398-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health