Provider Demographics
NPI:1902128309
Name:CENTRAL INTERMEDIATE UNIT # 10
Entity Type:Organization
Organization Name:CENTRAL INTERMEDIATE UNIT # 10
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESCHOOL EI DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRISE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:814-342-0884
Mailing Address - Street 1:345 LINK RD
Mailing Address - Street 2:
Mailing Address - City:WEST DECATUR
Mailing Address - State:PA
Mailing Address - Zip Code:16878-8317
Mailing Address - Country:US
Mailing Address - Phone:814-342-0884
Mailing Address - Fax:814-342-5137
Practice Address - Street 1:345 LINK RD
Practice Address - Street 2:
Practice Address - City:WEST DECATUR
Practice Address - State:PA
Practice Address - Zip Code:16878-8317
Practice Address - Country:US
Practice Address - Phone:814-342-0884
Practice Address - Fax:814-342-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency