Provider Demographics
NPI:1083847958
Name:KIDS IN THE MIDDLE, INC.
Entity Type:Organization
Organization Name:KIDS IN THE MIDDLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-909-9922
Mailing Address - Street 1:121 W MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-5815
Mailing Address - Country:US
Mailing Address - Phone:314-909-9922
Mailing Address - Fax:314-909-1831
Practice Address - Street 1:121 W MONROE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-5815
Practice Address - Country:US
Practice Address - Phone:314-909-9922
Practice Address - Fax:314-909-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty