Provider Demographics
NPI:1598340234
Name:GIVE BACK 2 KID INC
Entity Type:Organization
Organization Name:GIVE BACK 2 KID INC
Other - Org Name:GIVE BACK 2 KIDS BEHAVIORAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MONDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MED
Authorized Official - Phone:321-456-7056
Mailing Address - Street 1:945 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-1331
Mailing Address - Country:US
Mailing Address - Phone:321-456-7056
Mailing Address - Fax:
Practice Address - Street 1:820 SOLTMAN AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-6504
Practice Address - Country:US
Practice Address - Phone:321-456-7056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities