| NPI | 1528432549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNESYS PERALTA On Going Service Coordinator 917-932-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |