| NPI | 1215393608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ALLISON KATZEN Clinical Social Worker 516-650-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY R056858-1) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |