Provider Demographics
NPI:1174336572
Name:HAMILTON CENTER FOR CHILD ADVOCACY
Entity type:Organization
Organization Name:HAMILTON CENTER FOR CHILD ADVOCACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-459-6658
Mailing Address - Street 1:2713 S 74TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5171
Mailing Address - Country:US
Mailing Address - Phone:479-783-1002
Mailing Address - Fax:
Practice Address - Street 1:2713 S 74TH ST STE 203
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5171
Practice Address - Country:US
Practice Address - Phone:479-783-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse PediatricsGroup - Single Specialty