| NPI | 1073084216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MOLARABI Occupational Therapist 347-893-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |