Provider Demographics
NPI:1245598945
Name:CHILD ADVOCACY AND PARENTING PLACE EXCHANGE CLUB CENTER INC.
Entity Type:Organization
Organization Name:CHILD ADVOCACY AND PARENTING PLACE EXCHANGE CLUB CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:910-791-1057
Mailing Address - Street 1:PO BOX 4305
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-1305
Mailing Address - Country:US
Mailing Address - Phone:910-791-1057
Mailing Address - Fax:910-791-2441
Practice Address - Street 1:1401 S 39TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6703
Practice Address - Country:US
Practice Address - Phone:910-791-1057
Practice Address - Fax:910-791-2441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty