| NPI | 1780931485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON AILEEN ACHOR Member 917-916-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VT 8040574) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VT 8040574) |
| 251E00000X Home Health (Licence: NY 012403-1) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 012403-1) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |