Provider Demographics
NPI:1265668206
Name:CHILDREN FIRST, LLC
Entity Type:Organization
Organization Name:CHILDREN FIRST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KINCAID
Authorized Official - Suffix:
Authorized Official - Credentials:OCC THERAPIST
Authorized Official - Phone:315-472-7094
Mailing Address - Street 1:725 ERIE BLVD W
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2482
Mailing Address - Country:US
Mailing Address - Phone:315-472-7094
Mailing Address - Fax:315-472-7096
Practice Address - Street 1:725 ERIE BLVD W
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-2482
Practice Address - Country:US
Practice Address - Phone:315-472-7094
Practice Address - Fax:315-472-7096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency