Provider Demographics
NPI:1235370636
Name:WINDOW TO HEALING CENTER, INC.
Entity Type:Organization
Organization Name:WINDOW TO HEALING CENTER, INC.
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MAED
Authorized Official - Phone:623-853-1809
Mailing Address - Street 1:14900 W VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-3002
Mailing Address - Country:US
Mailing Address - Phone:623-882-2509
Mailing Address - Fax:
Practice Address - Street 1:14900 W VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-3002
Practice Address - Country:US
Practice Address - Phone:623-882-2509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty