| NPI | 1114371606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ANN SOUTHARD President 516-605-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020049) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |