| NPI | 1417658238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAICINE TERRY Speech Language Pathologist 646-338-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |