Organization
INFANT DEVELOPMENT PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY G DICELLO (EXECUTIVE DIRECTOR)
(570) 748-3928
Entity
Organization
Contact information
Practice address
980 EAST WATER ST, LOCK HAVEN, PA 17745
(570) 748-3928
(570) 748-3610
Mailing address
980 EAST WATER ST, LOCK HAVEN, PA 17745
(570) 748-3928
(570) 748-3610
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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