| NPI | 1598917569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIA CHARBONNEAU Co Director 631-499-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |