Provider Demographics
NPI:1659533784
Name:OPTIONS TO DOMESTIC VIOLENCE & SEXUAL ASSAULT INC.
Entity Type:Organization
Organization Name:OPTIONS TO DOMESTIC VIOLENCE & SEXUAL ASSAULT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEE ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:CCFC
Authorized Official - Phone:252-946-3219
Mailing Address - Street 1:PO BOX 1387
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-1387
Mailing Address - Country:US
Mailing Address - Phone:252-946-3219
Mailing Address - Fax:252-948-1477
Practice Address - Street 1:804 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4452
Practice Address - Country:US
Practice Address - Phone:252-946-3219
Practice Address - Fax:252-948-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care