| NPI | 1265809172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE ROSE CHESSEN Owner 516-965-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 081431) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |