| Child Watch Counseling And Advocacy Center, Inc. | |
|
1118 Jefferson St Paducah KY 42001-1836 | |
| (270) 443-1440 | |
| (270) 443-1486 |
| Full Name | Child Watch Counseling And Advocacy Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1118 Jefferson St, Paducah, Kentucky |
| Authorized Official Name and Position | Lena 'lee' Emmons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2704431440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Watch Counseling And Advocacy Center, Inc. Po Box 1262 Paducah KY 42002-1262 Ph: (270) 443-1440 | Child Watch Counseling And Advocacy Center, Inc. 1118 Jefferson St Paducah KY 42001-1836 Ph: (270) 443-1440 |
| NPI Number | 1659418549 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659418549 | NPI | - | NPPES |
| 1300000500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Kentucky) | Primary |
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