NPI | 1063651594 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE LEE SERRA President 914-805-1673 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 004003) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2009-02-06 |