| NPI | 1124474697 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL MARRERO CEO 267-815-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |