| NPI | 1356601462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGE MIKULSKI Owner 585-343-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 919212991) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |