| NPI | 1194941120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ELLIS Director Of Patient Billing 347-396-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-09-25 |