| NPI | 1649548496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE FERREIRA Slp 347-271-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 018291) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-13 |