Provider Demographics
NPI:1205176732
Name:CHILD ABUSE PREVENTION ALLIANCE
Entity type:Organization
Organization Name:CHILD ABUSE PREVENTION ALLIANCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:678-858-6624
Mailing Address - Street 1:179 BRASELTON FARMS DR
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-1917
Mailing Address - Country:US
Mailing Address - Phone:678-858-6624
Mailing Address - Fax:
Practice Address - Street 1:179 BRASELTON FARMS DR
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-1917
Practice Address - Country:US
Practice Address - Phone:678-858-6624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management