Provider Demographics
NPI:1174726913
Name:A BETTER CHILD INC
Entity type:Organization
Organization Name:A BETTER CHILD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRELL
Authorized Official - Middle Name:LAVON
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:252-531-4188
Mailing Address - Street 1:512 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-7202
Mailing Address - Country:US
Mailing Address - Phone:252-746-9991
Mailing Address - Fax:252-746-9992
Practice Address - Street 1:512 SECOND ST
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-7202
Practice Address - Country:US
Practice Address - Phone:252-746-9991
Practice Address - Fax:252-746-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301964Medicaid
NC8301964BMedicaid
NC8301964GMedicaid