| NPI | 1407306558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AEON ANTHONY CLARK President/CEO 646-415-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |