Provider Demographics
NPI:1407312689
Name:4 KIDS 2 KIDS
Entity Type:Organization
Organization Name:4 KIDS 2 KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-573-0752
Mailing Address - Street 1:1483 ALVA STREET
Mailing Address - Street 2:
Mailing Address - City:CAPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013
Mailing Address - Country:US
Mailing Address - Phone:805-566-0299
Mailing Address - Fax:805-566-0298
Practice Address - Street 1:1483 ALVA STREET
Practice Address - Street 2:
Practice Address - City:CAPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013
Practice Address - Country:US
Practice Address - Phone:805-566-0299
Practice Address - Fax:805-566-0298
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:4 KIDS 2 KIDS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility