| NPI | 1861837288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SALOMON Clinical Supervisor 917-853-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |