Provider Demographics
NPI:1770833790
Name:IT TAKES A VILLAGE
Entity Type:Organization
Organization Name:IT TAKES A VILLAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:COXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-212-1277
Mailing Address - Street 1:PO BOX 1007
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76307-1007
Mailing Address - Country:US
Mailing Address - Phone:325-212-1277
Mailing Address - Fax:925-290-1277
Practice Address - Street 1:4500 MCCRORY AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2437
Practice Address - Country:US
Practice Address - Phone:325-212-1277
Practice Address - Fax:925-290-1277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688972251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management