Provider Demographics
NPI:1881857563
Name:CHILD & FAMILY PARTNERS INC
Entity Type:Organization
Organization Name:CHILD & FAMILY PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEUCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:765-427-6756
Mailing Address - Street 1:115 FARABEE DR N STE C
Mailing Address - Street 2:PO BOX 5173
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47903-5173
Mailing Address - Country:US
Mailing Address - Phone:765-427-6756
Mailing Address - Fax:765-423-5600
Practice Address - Street 1:115 FARABEE DR N
Practice Address - Street 2:STE C
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47903-5173
Practice Address - Country:US
Practice Address - Phone:765-427-6756
Practice Address - Fax:765-423-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health