Provider Demographics
NPI:1457196404
Name:SAVE THE CHILDREN GROUP HOME
Entity type:Organization
Organization Name:SAVE THE CHILDREN GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:CFPS
Authorized Official - Phone:228-224-6126
Mailing Address - Street 1:205 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BLUE EARTH
Mailing Address - State:MN
Mailing Address - Zip Code:56013-1905
Mailing Address - Country:US
Mailing Address - Phone:228-224-6126
Mailing Address - Fax:
Practice Address - Street 1:205 E 2ND ST
Practice Address - Street 2:
Practice Address - City:BLUE EARTH
Practice Address - State:MN
Practice Address - Zip Code:56013-1905
Practice Address - Country:US
Practice Address - Phone:228-224-6126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child