| NPI | 1427384908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYCATE MCDONOUGH Executive Director 267-253-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA 1-03-1364) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2024-02-06 |