Provider Demographics
NPI:1831420959
Name:YALE CROWBERG LEARNING CENTER INC
Entity type:Organization
Organization Name:YALE CROWBERG LEARNING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCALPINE
Authorized Official - Suffix:
Authorized Official - Credentials:BSRB LAC 371
Authorized Official - Phone:316-613-2948
Mailing Address - Street 1:400 N WOODLAWN ST
Mailing Address - Street 2:#204
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-4338
Mailing Address - Country:US
Mailing Address - Phone:316-613-2948
Mailing Address - Fax:316-613-2998
Practice Address - Street 1:400 N WOODLAWN ST
Practice Address - Street 2:#204
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4338
Practice Address - Country:US
Practice Address - Phone:316-613-2948
Practice Address - Fax:316-613-2998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty