| NPI | 1053675496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA ERLEEN STATON CEO/ President 917-559-4449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |