| NPI | 1710524541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLEWELLYN FORBES Executive Director 646-302-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |