Provider Demographics
NPI:1578730164
Name:CENTER FOR NON VIOLENCE LEARNING, INC
Entity Type:Organization
Organization Name:CENTER FOR NON VIOLENCE LEARNING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR
Authorized Official - Phone:321-274-7751
Mailing Address - Street 1:PO BOX 4608
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32793-4608
Mailing Address - Country:US
Mailing Address - Phone:321-274-7751
Mailing Address - Fax:
Practice Address - Street 1:1013 HOWELL HARBOR DR
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5810
Practice Address - Country:US
Practice Address - Phone:321-274-7751
Practice Address - Fax:407-695-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management