Provider Demographics
NPI:1770643181
Name:SERVING CHILDREN AND ADULTS IN NEED, INC.
Entity Type:Organization
Organization Name:SERVING CHILDREN AND ADULTS IN NEED, INC.
Other - Org Name:S.C.A.N., INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DABDOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-724-5111
Mailing Address - Street 1:1605 SALDANA AVE.
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6220
Mailing Address - Country:US
Mailing Address - Phone:956-724-5111
Mailing Address - Fax:956-725-8367
Practice Address - Street 1:1605 SALDANA AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6220
Practice Address - Country:US
Practice Address - Phone:956-724-5111
Practice Address - Fax:956-725-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X, 261QM1300X
TX788-3455261QR0405X
TX788-A261QR0405X
TX788-C261QR0405X
TX788-S324500000X, 324500000X
TX788-3269324500000X, 324500000X
TX788-3090324500000X, 324500000X
TX788-F324500000X
TX788-3081324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137068608Medicaid
TX303844001Medicaid
TX408346101Medicaid
TX217569701Medicaid
TX217698401Medicaid
TX218376601Medicaid
TX137068604Medicaid
TX217793301Medicaid
TX218376601Medicaid
TX217698401Medicaid
TX217698401Medicaid
TX217569701Medicaid