Over the Moon Enrichment Agency
NPI #1902271620 in Pine Bush, New York
Provider Information
- NPI Number
- 1902271620
- Entity Type
- Organization
- Organization Name
- Over the Moon Enrichment Agency
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Dec 7, 2015
- Last Updated
- Dec 7, 2015
Practice Location
Authorized Official
- Name
- MRS. SUZANNE RUSSELL
- Title
- OWNER/EI PROGRAM DIRECTOR
- Phone
- (845) 524-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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