Provider Demographics
NPI:1720174667
Name:ADVOCACY CENTER FOR CRIME VICTIMS AND CHILDREN
Entity Type:Organization
Organization Name:ADVOCACY CENTER FOR CRIME VICTIMS AND CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:254-752-9330
Mailing Address - Street 1:2323 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-1040
Mailing Address - Country:US
Mailing Address - Phone:254-752-9330
Mailing Address - Fax:154-752-9655
Practice Address - Street 1:2323 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1040
Practice Address - Country:US
Practice Address - Phone:254-752-9330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI24178251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare