Provider Demographics
NPI:1144694092
Name:ADELANTE CHILDRENS THERAPIES
Entity type:Organization
Organization Name:ADELANTE CHILDRENS THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION/CBRS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:KELLISH
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:BA, ITFS
Authorized Official - Phone:828-772-1078
Mailing Address - Street 1:299 LOOKOUT DR
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-7749
Mailing Address - Country:US
Mailing Address - Phone:828-772-1078
Mailing Address - Fax:828-639-8041
Practice Address - Street 1:299 LOOKOUT DR
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-7749
Practice Address - Country:US
Practice Address - Phone:828-772-1078
Practice Address - Fax:828-639-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health