NPI | 1053566711 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE PRINCE Director 315-468-1632 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 005393) |
Enumeration Date | 2008-11-22 |
Last Update Date | 2008-11-22 |