Provider Demographics
NPI:1730449802
Name:WEST STREET CHILD CARE LEARNING CENTER INC
Entity type:Organization
Organization Name:WEST STREET CHILD CARE LEARNING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-425-2379
Mailing Address - Street 1:96 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4908
Mailing Address - Country:US
Mailing Address - Phone:845-425-2379
Mailing Address - Fax:845-425-4308
Practice Address - Street 1:96 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4908
Practice Address - Country:US
Practice Address - Phone:845-425-2379
Practice Address - Fax:845-425-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency