| NPI | 1255686432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIZA SANTNA Teacher 347-726-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 348732) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |