| NPI | 1255190724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENORA C PHILLIPS Special Education Teacher 347-675-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |