Provider Demographics
NPI: | 1750676649 |
---|---|
Name: | CHILDREN'S ADVOCACY RESOURCES & EDUCATION, INC. |
Entity Type: | Organization |
Organization Name: | CHILDREN'S ADVOCACY RESOURCES & EDUCATION, INC. |
Other - Org Name: | COMMUNITY ADVOCACY RESOURCES AND EDUCATION |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | FOUNDER & PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | STUER |
Authorized Official - Suffix: | JR |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 817-559-2579 |
Mailing Address - Street 1: | 2009 WOOD CT |
Mailing Address - Street 2: | |
Mailing Address - City: | GRANBURY |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76048-5680 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 817-559-2579 |
Mailing Address - Fax: | 817-578-3086 |
Practice Address - Street 1: | 6411 MCCART AVE |
Practice Address - Street 2: | |
Practice Address - City: | FORT WORTH |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76133-4702 |
Practice Address - Country: | US |
Practice Address - Phone: | 817-559-2579 |
Practice Address - Fax: | 817-578-3086 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-06-18 |
Last Update Date: | 2011-06-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management | ||
No | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 251G00000X | Agencies | Hospice Care, Community Based | ||
No | 251K00000X | Agencies | Public Health or Welfare | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 251V00000X | Agencies | Voluntary or Charitable | ||
No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
No | 253J00000X | Agencies | Foster Care Agency | ||
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | Group - Multi-Specialty |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | Group - Multi-Specialty | |
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |