| NPI | 1508226549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE M WELCH Aba Specialist 718-930-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1222386) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |