| NPI | 1255701413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHONI NAKIA FULCHER Executive Director 347-526-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 798914) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |