NPI | 1811310295 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE JEAN BRYANT CEO 718-702-6618 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 095440711) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |