| NPI | 1073869459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANN ANDREA RICHARDSON Service Coordinator 718-735-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 21900) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |