| NPI | 1225706948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENDY ANDRE Early Intervention Provider 929-344-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |