| NPI | 1558507210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L JOHNSTON Director 631-473-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 003003-1) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2016-06-15 |