Provider Demographics
NPI:1952501009
Name:KIDS IN DIFFICULT SITUATIONS, INC
Entity Type:Organization
Organization Name:KIDS IN DIFFICULT SITUATIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:STAMM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:765-546-9143
Mailing Address - Street 1:PO BOX 452
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47390-0452
Mailing Address - Country:US
Mailing Address - Phone:765-546-9143
Mailing Address - Fax:765-964-4300
Practice Address - Street 1:501 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:IN
Practice Address - Zip Code:47390-1118
Practice Address - Country:US
Practice Address - Phone:765-546-9143
Practice Address - Fax:765-964-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005064A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty