Provider Demographics
NPI:1326225947
Name:BOLES CHILDREN'S HOME, INC.
Entity Type:Organization
Organization Name:BOLES CHILDREN'S HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPEUTIC SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASBILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-224-4900
Mailing Address - Street 1:7065 LOVE
Mailing Address - Street 2:
Mailing Address - City:QUINLAN
Mailing Address - State:TX
Mailing Address - Zip Code:75474-4609
Mailing Address - Country:US
Mailing Address - Phone:903-224-4900
Mailing Address - Fax:903-883-4530
Practice Address - Street 1:7065 LOVE
Practice Address - Street 2:
Practice Address - City:QUINLAN
Practice Address - State:TX
Practice Address - Zip Code:75474-4609
Practice Address - Country:US
Practice Address - Phone:903-224-4900
Practice Address - Fax:903-883-4530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMS OF HOPE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-25
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32116103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty