| NPI | 1548491020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ISABELLE MAE DAVIS Speech/Language Therapist 917-678-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-08-02 |
| Last Update Date | 2009-08-02 |