| NPI | 1487893731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY W TILSON Director 914-777-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0098021) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |