Jack and Jill Developmental Services

NPI #1265780431 in Liberty, New York

Provider Information

NPI Number
1265780431
Entity Type
Organization
Organization Name
Jack and Jill Developmental Services
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 20, 2012
Last Updated
Aug 20, 2012

Practice Location

Address
17 N MAIN ST
ZIP Code
12754-1807
Phone
(845) 292-4134

Authorized Official

Name
DR. JEFFREY P JENSEN, PH.D
Title
PARTNER
Phone
(845) 292-4134

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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