| NPI | 1003201062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLIVETTE MEDINA Service Coordinator 718-610-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |