| NPI | 1366726481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MOHR Speech Pathologist 646-998-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 019394) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |