| NPI | 1205619400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLINE GISSETTE INOA SANCHEZ Speech Language Pathologist 646-269-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |