Provider Demographics
NPI:1912215286
Name:CHILDREN & FAMILY SERVICES, CORP.
Entity Type:Organization
Organization Name:CHILDREN & FAMILY SERVICES, CORP.
Other - Org Name:GRASSHOPPER GROUP HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MOLLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EWING
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:812-790-2599
Mailing Address - Street 1:105 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1251
Mailing Address - Country:US
Mailing Address - Phone:812-790-2599
Mailing Address - Fax:812-790-2187
Practice Address - Street 1:105 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1251
Practice Address - Country:US
Practice Address - Phone:812-790-2599
Practice Address - Fax:812-790-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 261QM0801X
INVARIOUS343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200996880AMedicaid