Provider Demographics
NPI:1659556215
Name:CHILDREN'S CENTER FOR DEVELOPMENTAL ENRICHMENT
Entity Type:Organization
Organization Name:CHILDREN'S CENTER FOR DEVELOPMENTAL ENRICHMENT
Other - Org Name:CCDE THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-899-2838
Mailing Address - Street 1:900 CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4909
Mailing Address - Country:US
Mailing Address - Phone:614-899-2838
Mailing Address - Fax:614-899-2876
Practice Address - Street 1:900 CLUB DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4909
Practice Address - Country:US
Practice Address - Phone:614-899-2838
Practice Address - Fax:614-899-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty