Provider Demographics
NPI:1891823357
Name:CRANIAL THERAPIES, INC
Entity Type:Organization
Organization Name:CRANIAL THERAPIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:BITTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-500-5588
Mailing Address - Street 1:4444 LANKERSHIM BLVD
Mailing Address - Street 2:SUITE #108
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2346
Mailing Address - Country:US
Mailing Address - Phone:888-500-5588
Mailing Address - Fax:
Practice Address - Street 1:4444 LANKERSHIM BLVD
Practice Address - Street 2:SUITE #108
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-2346
Practice Address - Country:US
Practice Address - Phone:888-500-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTAX ID