| NPI | 1841637949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M. DAVIDSON President 646-275-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261Q00000X |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |