| Early Childhood Interventions | |
|
4002 Meadows Ct Suffolk VA 23434-8357 | |
| (757) 287-0680 | |
| Not Available |
| Full Name | Early Childhood Interventions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4002 Meadows Ct, Suffolk, Virginia |
| Authorized Official Name and Position | Mariah Antionette Petite (CEO) |
| Authorized Official Contact | 7572870680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Childhood Interventions 4002 Meadows Ct Suffolk VA 23434-8357 Ph: (757) 287-0680 | Early Childhood Interventions 4002 Meadows Ct Suffolk VA 23434-8357 Ph: (757) 287-0680 |
| NPI Number | 1942875802 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942875802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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