Grace Russo, Inc.
NPI #1861642787 in Sparta, New Jersey
Provider Information
- NPI Number
- 1861642787
- Entity Type
- Organization
- Organization Name
- Grace Russo, Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Sep 28, 2008
- Last Updated
- Sep 28, 2008
Practice Location
- Address
- 43 CONESTOGA TRL
- City
- Sparta
- State
- New Jersey
- ZIP Code
- 07871-2509
- Phone
- (973) 726-7786
Authorized Official
- Name
- MS. GRACE RUSSO, M.S., ED.
- Title
- PRESIDENT
- Phone
- (914) 443-0138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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