Provider Demographics
NPI:1598034928
Name:CHILD'S PLAY DEVELOPMENTAL SERVICES, L.L.C.
Entity Type:Organization
Organization Name:CHILD'S PLAY DEVELOPMENTAL SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:SHAW
Authorized Official - Last Name:KAFES
Authorized Official - Suffix:
Authorized Official - Credentials:ITFS
Authorized Official - Phone:910-489-5755
Mailing Address - Street 1:911 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3755
Mailing Address - Country:US
Mailing Address - Phone:910-489-5755
Mailing Address - Fax:
Practice Address - Street 1:911 UNION ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3755
Practice Address - Country:US
Practice Address - Phone:910-489-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty