Provider Demographics
NPI:1235591124
Name:A WOMAN'S HEART, A CHILD'S LIFE PREGNANCY RESOURCE CENTER
Entity Type:Organization
Organization Name:A WOMAN'S HEART, A CHILD'S LIFE PREGNANCY RESOURCE CENTER
Other - Org Name:RAFFA CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:THREESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-454-9751
Mailing Address - Street 1:PO BOX 9325
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75404-9325
Mailing Address - Country:US
Mailing Address - Phone:903-454-9751
Mailing Address - Fax:903-454-9714
Practice Address - Street 1:2612 JORDAN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-3313
Practice Address - Country:US
Practice Address - Phone:903-454-9711
Practice Address - Fax:903-454-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical