| NPI | 1144770868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNCETTA BERNICE JOHNSON Social Worker 646-391-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 04788-1) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |