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Tcb Early Childhd Developmental Srv

Early Intervention Provider Agency in Newark, NJ. Organization (NPI-2).

NPI number1467926899
StatusActive
Last updated in NPPESJan 18, 2019

Details

NPI
1467926899
Entity type
Organization (NPI-2)
Legal business name
Tcb Early Childhd Developmental Srv
Organization subpart
No
Enumeration date
Jan 18, 2019
Last updated
Jan 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Practice location

57 W End Ave
Newark, NJ 07106-1929

Phone 347-792-3754

Mailing address

57 W End Ave
Newark, NJ 07106-1929

Authorized official

Tawanda Cunningham-Blakeney
Owner/Educator
3477923754

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