| NPI | 1285408435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE MIRLAS Speech Pathologist 347-583-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |