| NPI | 1598029944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY VANDERMARK Clinical Coordinator 845-247-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2012-06-30 |