| NPI | 1376209676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE CAMPBELL Early Intervention Therapist 347-276-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |