Provider Demographics
NPI:1770365934
Name:4KIDZ KORNER NON-PROFIT CORPORATION
Entity type:Organization
Organization Name:4KIDZ KORNER NON-PROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:R
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:330-949-5930
Mailing Address - Street 1:2425 SNYDER AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-1962
Mailing Address - Country:US
Mailing Address - Phone:330-949-5930
Mailing Address - Fax:
Practice Address - Street 1:2335 15TH ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-2544
Practice Address - Country:US
Practice Address - Phone:330-949-5930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency