Provider Demographics
NPI:1033288501
Name:CENTER FOR CHILD AND FAMILY ADVOCACY
Entity Type:Organization
Organization Name:CENTER FOR CHILD AND FAMILY ADVOCACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-592-0540
Mailing Address - Street 1:219 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-1698
Mailing Address - Country:US
Mailing Address - Phone:419-592-0540
Mailing Address - Fax:419-592-4514
Practice Address - Street 1:219 E WASHINGTON ST
Practice Address - Street 2:SUITE 219
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1698
Practice Address - Country:US
Practice Address - Phone:419-592-0540
Practice Address - Fax:419-592-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2098322Medicaid
OH10142Medicare UPIN
OH2098322Medicaid