| NPI | 1780480087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDA MADBOULY Program Administrator 917-378-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-04-24 |