| NPI | 1114369642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKISHA L COLLINS Executive Director 718-981-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 609775) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |