Provider Demographics
NPI:1801806633
Name:CENTER FOR CHILD DEVELOPMENT
Entity type:Organization
Organization Name:CENTER FOR CHILD DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC LIAISON
Authorized Official - Prefix:MISS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:GILLIAN
Authorized Official - Last Name:BODIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:561-422-9540
Mailing Address - Street 1:2032 ALTA MEADOWS LN APT 1102
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-1161
Mailing Address - Country:US
Mailing Address - Phone:561-279-9924
Mailing Address - Fax:
Practice Address - Street 1:2032 ALTA MEADOWS LN APT 1102
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-1161
Practice Address - Country:US
Practice Address - Phone:561-279-9924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management