|Taxonomy Code||Specialty Code||Provider Type|
|LBN Legal business name||CHILDREN'S CRISIS PREVENTION NETWORK, INC.|
|DBA Doing business as||COMMUNITY CARE & PREVENTION NETWORK|
|Authorized official||RICHARD WAGNER - (LEAD THERAPIST)|
|Organization subpart 1||No|
|Last updated||08/25/2011 - About 5 years ago|
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