Provider Demographics
NPI:1154460624
Name:CHILDREN'S BUREAU, INC.
Entity Type:Organization
Organization Name:CHILDREN'S BUREAU, INC.
Other - Org Name:FIREFLY CHILDREN AND FAMILY ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-264-2700
Mailing Address - Street 1:1575 DR MARTIN LUTHER KING JR ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2295
Mailing Address - Country:US
Mailing Address - Phone:317-264-7000
Mailing Address - Fax:317-464-9575
Practice Address - Street 1:2115 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1636
Practice Address - Country:US
Practice Address - Phone:317-986-7730
Practice Address - Fax:317-986-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300049155Medicaid
IN100153300FMedicaid
IN100153300AMedicaid