Provider Demographics
NPI:1104040773
Name:KIDS FIRST, INC. CHILD ADVOCACY CENTER
Entity Type:Organization
Organization Name:KIDS FIRST, INC. CHILD ADVOCACY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:252-338-5658
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:808 W. EHRINGHAUS ST.
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27907-0023
Mailing Address - Country:US
Mailing Address - Phone:252-338-5658
Mailing Address - Fax:252-338-0879
Practice Address - Street 1:808 W. EHRINGHAUS ST.
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909
Practice Address - Country:US
Practice Address - Phone:252-338-5658
Practice Address - Fax:252-338-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health