Provider Demographics
NPI:1437132719
Name:HOWARD COUNTY CHILDRENS CENTER INC
Entity Type:Organization
Organization Name:HOWARD COUNTY CHILDRENS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:BUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-845-1211
Mailing Address - Street 1:1577 HIGHWAY 371 W
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-7598
Mailing Address - Country:US
Mailing Address - Phone:870-845-1211
Mailing Address - Fax:870-845-2810
Practice Address - Street 1:1577 HIGHWAY 371 W
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-7598
Practice Address - Country:US
Practice Address - Phone:870-845-1211
Practice Address - Fax:870-845-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services