| NPI | 1780936484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LEIN Program Director 646-558-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 94136071) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 639511121) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |