Provider Demographics
NPI:1912198912
Name:CHILDREN'S ADVOCACY CENTER OF SPARTANBURG
Entity Type:Organization
Organization Name:CHILDREN'S ADVOCACY CENTER OF SPARTANBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-515-9922
Mailing Address - Street 1:PO BOX 6007
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29304-6007
Mailing Address - Country:US
Mailing Address - Phone:864-515-9922
Mailing Address - Fax:864-515-9919
Practice Address - Street 1:100 WASHINGTON PL
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1295
Practice Address - Country:US
Practice Address - Phone:864-515-9922
Practice Address - Fax:864-515-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable