Provider Demographics
NPI:1710328026
Name:OUR LITTLE CHAMPIONS
Entity Type:Organization
Organization Name:OUR LITTLE CHAMPIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAL
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-570-1920
Mailing Address - Street 1:63-33 98TH PLACE
Mailing Address - Street 2:SUITE 6G
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:718-570-1920
Mailing Address - Fax:
Practice Address - Street 1:63-33 98TH PLACE
Practice Address - Street 2:SUITE 6G
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-570-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency