| NPI | 1174336150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA RICE Business Operations Manager 571-446-0010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |