| NPI | 1477184307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WILSON CEO 347-707-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2021-03-16 |