| NPI | 1427311224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI UNDERWOOD Director 518-761-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 003504169) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-03-22 |