| NPI | 1720337041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA KILAYKO GULLAS Administrator 347-617-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2013-01-08 |