Provider Demographics
NPI:1013927623
Name:COLLIER COUNTY CHILD ADVOCACY COUNCIL, INC.
Entity Type:Organization
Organization Name:COLLIER COUNTY CHILD ADVOCACY COUNCIL, INC.
Other - Org Name:CHILDREN'S ADVOCACY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:GRIFFITH
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:239-263-8383
Mailing Address - Street 1:1034 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5603
Mailing Address - Country:US
Mailing Address - Phone:239-263-8383
Mailing Address - Fax:239-263-7931
Practice Address - Street 1:1034 SIXTH AVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5603
Practice Address - Country:US
Practice Address - Phone:239-263-8383
Practice Address - Fax:239-263-7931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable