Provider Demographics
NPI:1144977125
Name:I AM HERE FOR VETS CORPORATION
Entity type:Organization
Organization Name:I AM HERE FOR VETS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:STIFF
Authorized Official - Suffix:
Authorized Official - Credentials:CRPS, ADDICTION SPEC
Authorized Official - Phone:386-383-2129
Mailing Address - Street 1:440 S SEGRAVE ST
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-4818
Mailing Address - Country:US
Mailing Address - Phone:386-310-9474
Mailing Address - Fax:
Practice Address - Street 1:440 S SEGRAVE ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4818
Practice Address - Country:US
Practice Address - Phone:386-310-9474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:I AM HERE FOR VETS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or Charitable
No333300000XSuppliersEmergency Response System Companies