| NPI | 1114373420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEREYDA AQUINO CEO 917-202-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2021-08-23 |