| NPI | 1508341496 |
|---|---|
| Doing Business As | KAY BOLTON |
| Entity Type | Organization |
| Authorized Contact | KAY BOLTON Owner/Provider 347-224-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |