Provider Demographics
NPI:1831301746
Name:CHILD ABUSE RESPONSE AND EVALUATION, INC.
Entity Type:Organization
Organization Name:CHILD ABUSE RESPONSE AND EVALUATION, INC.
Other - Org Name:CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-236-2100
Mailing Address - Street 1:P.O. BOX 1125
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73101-1125
Mailing Address - Country:US
Mailing Address - Phone:405-236-2100
Mailing Address - Fax:405-236-4046
Practice Address - Street 1:1403 ASHTON PL.
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73101-1125
Practice Address - Country:US
Practice Address - Phone:405-236-2100
Practice Address - Fax:405-236-4046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2247101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty