Provider Demographics
NPI:1831489376
Name:A CHILD'S MIND DEVELOPMENTAL CENTER
Entity Type:Organization
Organization Name:A CHILD'S MIND DEVELOPMENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-525-7404
Mailing Address - Street 1:10265 AJAX CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-3144
Mailing Address - Country:US
Mailing Address - Phone:915-857-2622
Mailing Address - Fax:877-587-9452
Practice Address - Street 1:10265 AJAX CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-3144
Practice Address - Country:US
Practice Address - Phone:915-857-2622
Practice Address - Fax:877-587-9452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty