Provider Demographics
NPI:1528426285
Name:FRIENDS OF CROWN HEIGHTS EDUCATIONAL CENTER
Entity type:Organization
Organization Name:FRIENDS OF CROWN HEIGHTS EDUCATIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATIONAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:JANETTA
Authorized Official - Last Name:BOBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-234-2866
Mailing Address - Street 1:249 THOMAS S BOYLAND ST
Mailing Address - Street 2:APT 9N
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-4156
Mailing Address - Country:US
Mailing Address - Phone:347-894-1413
Mailing Address - Fax:929-234-2869
Practice Address - Street 1:249 THOMAS S BOYLAND ST
Practice Address - Street 2:APT 9N
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4156
Practice Address - Country:US
Practice Address - Phone:347-894-1413
Practice Address - Fax:929-234-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2529223252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency