Provider Demographics
NPI:1689895393
Name:COMMUNITY ACTION COMMITTEE OF VICTORIA TEXAS
Entity Type:Organization
Organization Name:COMMUNITY ACTION COMMITTEE OF VICTORIA TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-578-2989
Mailing Address - Street 1:PO BOX 3607
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77903-3607
Mailing Address - Country:US
Mailing Address - Phone:361-578-2989
Mailing Address - Fax:361-578-0062
Practice Address - Street 1:4007 HALSEY ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3030
Practice Address - Country:US
Practice Address - Phone:361-578-2989
Practice Address - Fax:361-578-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2013-02-19
Deactivation Date:2007-10-22
Deactivation Code:
Reactivation Date:2013-02-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable