Provider Demographics
NPI:1689860926
Name:KIDS INC.
Entity type:Organization
Organization Name:KIDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-362-1529
Mailing Address - Street 1:3063 ORDWAY DR NW
Mailing Address - Street 2:APT H
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-1977
Mailing Address - Country:US
Mailing Address - Phone:540-362-1526
Mailing Address - Fax:
Practice Address - Street 1:3063 ORDWAY DR NW
Practice Address - Street 2:APT H
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017-1977
Practice Address - Country:US
Practice Address - Phone:540-362-1526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040032111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty