| NPI | 1518694082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MISHAELY Special Education Teacher 191-788-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |