Provider Demographics
NPI:1205131281
Name:RAINBOW HOUSE FOR WOMEN AND CHILDREN, INC.
Entity type:Organization
Organization Name:RAINBOW HOUSE FOR WOMEN AND CHILDREN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:210-430-2033
Mailing Address - Street 1:8930 FOURWINDS DR
Mailing Address - Street 2:105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-1970
Mailing Address - Country:US
Mailing Address - Phone:210-430-2033
Mailing Address - Fax:
Practice Address - Street 1:8930 FOURWINDS DR
Practice Address - Street 2:105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-1970
Practice Address - Country:US
Practice Address - Phone:210-430-2033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty