Provider Demographics
NPI:1487852760
Name:CANINES & KIDS, INC.
Entity Type:Organization
Organization Name:CANINES & KIDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:661-631-1763
Mailing Address - Street 1:1400 EASTON DR STE 147
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-9406
Mailing Address - Country:US
Mailing Address - Phone:661-631-1763
Mailing Address - Fax:661-397-8339
Practice Address - Street 1:1400 EASTON DR STE 137
Practice Address - Street 2:SUITE 109
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-9404
Practice Address - Country:US
Practice Address - Phone:661-631-1763
Practice Address - Fax:661-397-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 192731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1144465212OtherINDIVIDUAL NPI