Provider Demographics
NPI:1881942266
Name:APEX CHILDREN'S CENTER
Entity type:Organization
Organization Name:APEX CHILDREN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-216-5070
Mailing Address - Street 1:707 SHARP ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51534-1641
Mailing Address - Country:US
Mailing Address - Phone:402-676-2069
Mailing Address - Fax:
Practice Address - Street 1:707 SHARP ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IA
Practice Address - Zip Code:51534-1641
Practice Address - Country:US
Practice Address - Phone:402-676-2069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty