Early Foundation Child Development & Therapeutic Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1021322 Issued in DE

Legal business name

EARLY FOUNDATION CHILD DEVELOPMENT & THERAPEUTIC CENTER

Practice address

2814 W 2ND St
Wilmington, DE 19805-1807

Phone

(302) 319-5572

NPI assigned

Jun 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Joan Darlene Fletcher, MSW

Title

Clinical Supervisor

Phone

(302) 319-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Early Foundation Preschool Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1790048825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 W 2ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051807",
            "telephone_number": "302-319-5572",
            "fax_number": "302-384-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W 2ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051807",
            "telephone_number": "302-319-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY FOUNDATION CHILD DEVELOPMENT & THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "302-319-5572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "DE",
            "license": "1021322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932422391",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Foundation Preschool",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Early Intervention Provider Agency in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Early Intervention Provider Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.