| NPI | 1215286216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA J LOPEZ Clinical Social Worker 347-556-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 086269) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |