| NPI | 1013991017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KHOURY CFO 212-727-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 18436) |
| 103K00000X Behavior Analyst | |
| 133V00000X Dietitian, Registered (Licence: TX DT02978) | |
| 171M00000X Case Manager/Care Coordinator | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 231H00000X Audiologist (Licence: TX 51670) | |
| 235Z00000X Speech-Language Pathologist | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 51670) | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-06-20 |