Provider Demographics
NPI:1760812408
Name:THE DYNAMIC HUMANITARIANS SOCIETY
Entity Type:Organization
Organization Name:THE DYNAMIC HUMANITARIANS SOCIETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:NSIKAKABASI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-810-3516
Mailing Address - Street 1:1525 GRAND AVENUE PKWY
Mailing Address - Street 2:8205
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4959
Mailing Address - Country:US
Mailing Address - Phone:512-810-3516
Mailing Address - Fax:
Practice Address - Street 1:1525 GRAND AVENUE PKWY
Practice Address - Street 2:8205
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4959
Practice Address - Country:US
Practice Address - Phone:512-810-3516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management