| NPI | 1295493773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WORLEY CEO 917-960-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |