Organization
CHALLENGE EARLY INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MARIE EKELAND MA (SPECIALIST)
(347) 668-0481
Entity
Organization
Contact information
Practice address
333 95TH ST, 2, BROOKLYN, NY 11209-7303
(347) 668-0481
Mailing address
333 95TH ST, 2, BROOKLYN, NY 11209-7303
(347) 668-0481
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189088034
DRIVER'S LICENSE
NY
Enumeration date
09/12/2012
Last updated
07/21/2022
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