| NPI | 1689188674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE TINOCO Behavioral Analyst 516-816-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |