| NPI | 1598298192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSLANA CAMPBELL Early Intervention Therapist, Si 646-290-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 2601595) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |