NPI 1134557341

Kcp Ventures INC.

Organisation Early Intervention Provider Agency Mantoloking, NJ

Practice location

Address: 297 Dutchmans Point Rd, Mantoloking, NJ 08738-1009
Phone: (917) 797-3573

Authorised official

Name: Kristin Polidori
Title: President
Phone: (917) 797-3573

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence CERTIFIED (NY)

Other Early Intervention Provider Agency providers in New Jersey →

Registry record

NPI: 1134557341
Entity type: Organization
NPI issued: 24 Oct 2013
Record last updated: 24 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.