Provider Demographics
NPI:1942512983
Name:KIDS' SERVICES, INC.
Entity Type:Organization
Organization Name:KIDS' SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-829-9873
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-0429
Mailing Address - Country:US
Mailing Address - Phone:910-829-9873
Mailing Address - Fax:910-829-9874
Practice Address - Street 1:201 N WINSTEAD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2299
Practice Address - Country:US
Practice Address - Phone:910-829-9873
Practice Address - Fax:910-829-9874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health