Provider Demographics
NPI:1487792685
Name:CHILDREN AROUND THE WORLD SERVICES
Entity type:Organization
Organization Name:CHILDREN AROUND THE WORLD SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:BAKER
Authorized Official - Last Name:SHIPMON
Authorized Official - Suffix:
Authorized Official - Credentials:ECT
Authorized Official - Phone:910-422-9130
Mailing Address - Street 1:57 NAVIGATOR LANE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28383-0014
Mailing Address - Country:US
Mailing Address - Phone:910-422-9130
Mailing Address - Fax:910-422-9144
Practice Address - Street 1:57 NAVIGATOR LANE
Practice Address - Street 2:
Practice Address - City:ROWLAND
Practice Address - State:NC
Practice Address - Zip Code:28383-0014
Practice Address - Country:US
Practice Address - Phone:910-422-9130
Practice Address - Fax:910-422-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25100000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300114KMedicaid