Provider Demographics
NPI:1679780621
Name:BARSTOW ACRES CHILDREN CENTER
Entity Type:Organization
Organization Name:BARSTOW ACRES CHILDREN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-414-9901
Mailing Address - Street 1:590 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3346
Mailing Address - Country:US
Mailing Address - Phone:410-414-9901
Mailing Address - Fax:410-414-9902
Practice Address - Street 1:590 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3346
Practice Address - Country:US
Practice Address - Phone:410-414-9901
Practice Address - Fax:410-414-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty