| NPI | 1538543483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALA BRUDOLEY CEO 917-455-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 024292) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |