| NPI | 1801573852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL WEAVER COO 315-529-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-07-12 |