NPI | 1548987241 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAOBA RAY MCCOY Owner 646-685-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 222Q00000X Developmental Therapist |
251B00000X Case Management | |
Enumeration Date | 2022-10-24 |
Last Update Date | 2022-12-27 |