Provider Demographics
NPI:1609259878
Name:CENTER FOR EARLY LEARNING AND SOCIAL DEVELOPMENT
Entity Type:Organization
Organization Name:CENTER FOR EARLY LEARNING AND SOCIAL DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFSVOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:408-528-4226
Mailing Address - Street 1:2600 NETHERLAND AVE
Mailing Address - Street 2:#2023
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 W 120TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6605
Practice Address - Country:US
Practice Address - Phone:408-528-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No252Y00000XAgenciesEarly Intervention Provider Agency