| NPI | 1023366168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHA SCOTT Teacher; School Psychologist 917-589-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 092893011) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 262918081) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |