| NPI | 1871839639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USAMA SHAPPAN CEO 347-993-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 017152-1) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |