| NPI | 1831497247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUISSY MOISE Otr/L 917-658-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 014191) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |