| NPI | 1356795033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETULA SHERYL-ANN SQUIRES President 929-355-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1683208) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |