NPI | 1194094839 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE DAVILA CEO 718-286-9212 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 021147) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2013-05-11 |