| NPI | 1457451858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RYDER Controller 845-485-9803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-06-26 |