| NPI | 1013310481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVELINO VERGARA DE CHAVEZ President 646-208-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |