NPI Code Detail JSON Logo

1033359500 NPI number — EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF CT, INC.

NPI Number: 1033359500
Health Care Provider/Practitioner: EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF CT, INC.

Information about “1033359500” NPI (EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF CT, INC.) exists in 1033359500 in HTML format HTML  |  1033359500 in plain Text format TXT  |  1033359500 in PDF (Portable Document Format) PDF  |  1033359500 in an XML format XML  formats.

NPI Number : 1033359500 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033359500",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF CT, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "19 ELM ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VERNON ROCKVILLE",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06066-3207",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-872-1918",
    "MailingAddressFaxNumber": "860-872-8066",
    "FirstLinePracticeLocationAddress": "19 ELM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VERNON ROCKVILLE",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06066-3207",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-872-1918",
    "PracticeLocationAddressFaxNumber": "860-872-8066",
    "EnumerationDate": "02/24/2009",
    "LastUpdateDate": "02/24/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ATWATER",
    "AuthorizedOfficialFirstName": "ANGELA",
    "AuthorizedOfficialMiddleName": "F",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.A.",
    "AuthorizedOfficialTelephoneNumber": "860-872-1918",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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