| NPI | 1386055770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GROOM Special Educator 631-983-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1914670) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |