| NPI | 1255647319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W TED BROWN Director 718-494-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 08EI124700R0X00) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |