Provider Demographics
NPI:1710188172
Name:WORKSHOP ORGANIZED FOR REHABILITATION BY KIWANIS, INC.
Entity Type:Organization
Organization Name:WORKSHOP ORGANIZED FOR REHABILITATION BY KIWANIS, INC.
Other - Org Name:UCP WORK, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-566-9000
Mailing Address - Street 1:5464 CARPINTERIA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-1483
Mailing Address - Country:US
Mailing Address - Phone:805-566-9000
Mailing Address - Fax:805-566-9070
Practice Address - Street 1:5464 CARPINTERIA AVE STE B
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-1423
Practice Address - Country:US
Practice Address - Phone:805-566-9000
Practice Address - Fax:805-566-9070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED CEREBRAL PALSY OF LOS ANGELES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-31
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services