| NPI | 1003169988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLL GRANT Director/School Psychologist 315-472-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |