| NPI | 1265866875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE E PARKS Service Provider 917-346-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 47618) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |