| NPI | 1831742360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON GUIYAB Chief Financial Officer 917-208-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |