Provider Demographics
NPI:1952559296
Name:ADVOCACY SERVICES FOR KIDS
Entity Type:Organization
Organization Name:ADVOCACY SERVICES FOR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:269-343-5896
Mailing Address - Street 1:414 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3888
Mailing Address - Country:US
Mailing Address - Phone:269-343-5896
Mailing Address - Fax:269-978-0287
Practice Address - Street 1:414 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3888
Practice Address - Country:US
Practice Address - Phone:269-343-5896
Practice Address - Fax:269-978-0287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health