| NPI | 1275384000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABENA JOHNSON President 929-724-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-07-30 |