| NPI | 1003053026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WADE CEO 917-626-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2024-05-10 |