| NPI | 1184025058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUERLINE D GOMEZ Special Education Teacher 347-962-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 824950) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |