Provider Demographics
NPI:1144891359
Name:CAF THERAPEUTIC STRATEGIES LLC
Entity type:Organization
Organization Name:CAF THERAPEUTIC STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VICTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-265-2722
Mailing Address - Street 1:1225 E RIVER DR STE 303
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-5752
Mailing Address - Country:US
Mailing Address - Phone:563-265-2722
Mailing Address - Fax:202-982-5575
Practice Address - Street 1:1225 E RIVER DR STE 303
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-5752
Practice Address - Country:US
Practice Address - Phone:563-265-2722
Practice Address - Fax:202-982-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty