Provider Demographics
NPI:1013566017
Name:CHILDRENS DEVELOPMENT FIRST. CORP
Entity Type:Organization
Organization Name:CHILDRENS DEVELOPMENT FIRST. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ITDS
Authorized Official - Prefix:
Authorized Official - First Name:CHILDRENS
Authorized Official - Middle Name:DEVELOPMENT
Authorized Official - Last Name:FIRST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-484-2314
Mailing Address - Street 1:11722 LYNN BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-7203
Mailing Address - Country:US
Mailing Address - Phone:813-484-2314
Mailing Address - Fax:813-433-5163
Practice Address - Street 1:11722 LYNN BROOK CIR
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-7203
Practice Address - Country:US
Practice Address - Phone:813-484-2314
Practice Address - Fax:813-433-5163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency