Provider Demographics
NPI:1801466636
Name:BLACK WOMEN INVEST TOO LLC
Entity type:Organization
Organization Name:BLACK WOMEN INVEST TOO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANCE
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MPA
Authorized Official - Phone:510-563-9785
Mailing Address - Street 1:PO BOX 4792
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-0792
Mailing Address - Country:US
Mailing Address - Phone:510-563-9785
Mailing Address - Fax:
Practice Address - Street 1:2310 W STARR ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61605-3240
Practice Address - Country:US
Practice Address - Phone:510-563-9785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities