Provider Demographics
NPI:1942992003
Name:CHILD ADVOCACY OF SEDGWICK COUNTY
Entity Type:Organization
Organization Name:CHILD ADVOCACY OF SEDGWICK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-660-9495
Mailing Address - Street 1:1211 S EMPORIA AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67211-3211
Mailing Address - Country:US
Mailing Address - Phone:316-660-9494
Mailing Address - Fax:316-660-9487
Practice Address - Street 1:1211 S EMPORIA AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-3211
Practice Address - Country:US
Practice Address - Phone:316-660-9494
Practice Address - Fax:316-660-9487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty