# PDC SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Development Center, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538557137
- **Authorized official:** MS. PATRICIA HALL PELLEGRINO M.ED. (PROGRAM DIRECTOR)
- **Authorized official phone:** (413) 499-4537

## Contact information

- **Practice address:** 924 S MAIN ST, GREAT BARRINGTON, MA 01230-2235
- **Practice address phone:** (413) 717-4083
- **Practice address fax:** (413) 448-8223
- **Mailing address:** 924 S MAIN ST, GREAT BARRINGTON, MA 01230-2235
- **Mailing address phone:** (413) 717-4083
- **Mailing address fax:** (413) 448-8223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 91 | MA | Yes |

## Other

- **Enumeration date:** 01/05/2015
- **Last updated:** 01/05/2015