Provider Demographics
NPI:1780853507
Name:CHILDRENS ADVOCACY CENTER OF HIDALGO COUNTY INC
Entity Type:Organization
Organization Name:CHILDRENS ADVOCACY CENTER OF HIDALGO COUNTY INC
Other - Org Name:ESTRELLAS HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-287-9754
Mailing Address - Street 1:525 W WISCONSIN ROAD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3018
Mailing Address - Country:US
Mailing Address - Phone:956-287-9754
Mailing Address - Fax:956-287-9764
Practice Address - Street 1:525 W WISCONSIN ROAD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3018
Practice Address - Country:US
Practice Address - Phone:956-287-9754
Practice Address - Fax:956-287-9764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18924101Y00000X
TX548096163W00000X
TX594731163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty