| NPI | 1013267624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARIE EKELAND Specialist 347-668-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2022-07-21 |