| NPI | 1336663905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIA JUNE IMUTAN CHAN President 917-640-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |