Provider Demographics
NPI:1558415117
Name:TOTAL ACTION AGAINST POVERTY
Entity Type:Organization
Organization Name:TOTAL ACTION AGAINST POVERTY
Other - Org Name:TAP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EDLICH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-345-6781
Mailing Address - Street 1:145 CAMPBELL AVE SW
Mailing Address - Street 2:SUITE 601
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1211
Mailing Address - Country:US
Mailing Address - Phone:540-345-6781
Mailing Address - Fax:540-345-4461
Practice Address - Street 1:145 CAMPBELL AVE SW
Practice Address - Street 2:SUITE 601
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24011-1211
Practice Address - Country:US
Practice Address - Phone:540-345-6781
Practice Address - Fax:540-345-4461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable