Healthcare Provider Details

I. General information

NPI: 1427440338
Provider Name (Legal Business Name): VANTAGE POINT CHILDREN & FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 E MAIN ST SUITE 323
PLAINFIELD IN
46168-2825
US

IV. Provider business mailing address

PO BOX 146
CAMBY IN
46113-0146
US

V. Phone/Fax

Practice location:
  • Phone: 317-927-8830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TIFINI MCCLYDE
Title or Position: OWNER
Credential:
Phone: 317-927-8830