Provider Demographics
NPI:1376780908
Name:PARENTS FOR MEGAN'S LAW, INC.
Entity Type:Organization
Organization Name:PARENTS FOR MEGAN'S LAW, INC.
Other - Org Name:THE CRIME VICTIMS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AHEARN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:631-689-2672
Mailing Address - Street 1:1320 STONY BROOK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2206
Mailing Address - Country:US
Mailing Address - Phone:631-689-2672
Mailing Address - Fax:631-751-1695
Practice Address - Street 1:1320 STONY BROOK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2206
Practice Address - Country:US
Practice Address - Phone:631-689-2672
Practice Address - Fax:631-751-1695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable