| NPI | 1760869390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WEIS Director 917-460-7098 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 24582) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |