| NPI | 1083081855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SIMON Owner 347-405-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 021434-1) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |