| NPI | 1568151017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE MAURER Special Educ. Teacher/Consultant 631-334-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |