| NPI | 1295218592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL LINO Special Instruction 917-406-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-13 |