| NPI | 1154575215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE JO PETHERICK CEO 516-690-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 010022-1) |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2008-11-15 |