| NPI | 1033696638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL STAGG Special Educator 631-387-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 781925) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |