Provider Demographics
NPI:1447536875
Name:CHILDREN'S BUREAU INC.
Entity type:Organization
Organization Name:CHILDREN'S BUREAU INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-577-2500
Mailing Address - Street 1:868 N MANASSAS ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38107-2516
Mailing Address - Country:US
Mailing Address - Phone:901-577-2500
Mailing Address - Fax:901-577-2506
Practice Address - Street 1:868 N MANASSAS ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107-2516
Practice Address - Country:US
Practice Address - Phone:901-577-2500
Practice Address - Fax:901-577-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSO/10718A253J00000X
TNSO/10717A322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children