Provider Demographics
NPI:1326019415
Name:MARION COUNTY EARLY INTERVENTION SERVICES
Entity Type:Organization
Organization Name:MARION COUNTY EARLY INTERVENTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CEZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-878-4720
Mailing Address - Street 1:302 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66851-1224
Mailing Address - Country:US
Mailing Address - Phone:620-878-4720
Mailing Address - Fax:620-878-4529
Practice Address - Street 1:302 W 8TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KS
Practice Address - Zip Code:66851-1224
Practice Address - Country:US
Practice Address - Phone:620-878-4720
Practice Address - Fax:620-878-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management