| NPI | 1114281979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL AGATHA MANWARING Aba Therapist 718-938-5528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |