| NPI | 1467895573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANITA PETERS Owner 914-462-1926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 079028) |
| Additional Taxonomies | 251S00000X (Licence: NY 71 001418) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2017-02-09 |