Provider Demographics
NPI:1689948721
Name:NORTH CENTRAL MISSOURI CHILDREN'S ADVOCACY CENTER
Entity Type:Organization
Organization Name:NORTH CENTRAL MISSOURI CHILDREN'S ADVOCACY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-359-2874
Mailing Address - Street 1:906 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:64683-2199
Mailing Address - Country:US
Mailing Address - Phone:660-359-2874
Mailing Address - Fax:660-359-2837
Practice Address - Street 1:906 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MO
Practice Address - Zip Code:64683-2199
Practice Address - Country:US
Practice Address - Phone:660-359-2874
Practice Address - Fax:660-359-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable