Provider Demographics
NPI:1801252614
Name:STREET WORKS
Entity type:Organization
Organization Name:STREET WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:E
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-474-9256
Mailing Address - Street 1:PO BOX 60037
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-0037
Mailing Address - Country:US
Mailing Address - Phone:615-259-7676
Mailing Address - Fax:615-259-7682
Practice Address - Street 1:520 SYLVAN ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-4151
Practice Address - Country:US
Practice Address - Phone:615-259-7676
Practice Address - Fax:615-259-7682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management