Provider Demographics
NPI:1184986374
Name:CHALLENGE EARLY INTERVENTION CENTER
Entity type:Organization
Organization Name:CHALLENGE EARLY INTERVENTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL DEVELOPMENTAL SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:REEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:OESTRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:718-851-3401
Mailing Address - Street 1:1870-54TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204
Mailing Address - Country:US
Mailing Address - Phone:347-404-2620
Mailing Address - Fax:
Practice Address - Street 1:1870 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1545
Practice Address - Country:US
Practice Address - Phone:718-702-8054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency