Provider Demographics
NPI:1831832872
Name:POSITIVE KINSHIP BONDING, INC.
Entity type:Organization
Organization Name:POSITIVE KINSHIP BONDING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:RUSSAU
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LISW
Authorized Official - Phone:202-550-0545
Mailing Address - Street 1:820 CHESAPEAKE ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3428
Mailing Address - Country:US
Mailing Address - Phone:202-248-1083
Mailing Address - Fax:
Practice Address - Street 1:820 CHESAPEAKE ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3428
Practice Address - Country:US
Practice Address - Phone:202-550-0545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management