| NPI | 1073975421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY WATSON Teacher 917-417-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 071624716) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |