Provider Demographics
NPI:1477955730
Name:DEKALB COUNTY PARENTING GROUP
Entity Type:Organization
Organization Name:DEKALB COUNTY PARENTING GROUP
Other - Org Name:CHILDREN FIRST CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-925-3865
Mailing Address - Street 1:1752 WESLEY RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-3646
Mailing Address - Country:US
Mailing Address - Phone:260-925-3865
Mailing Address - Fax:260-925-3892
Practice Address - Street 1:1752 WESLEY RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-3646
Practice Address - Country:US
Practice Address - Phone:260-925-3865
Practice Address - Fax:260-925-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005382A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health