| NPI | 1902387087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE LETTS Social Worker 929-333-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 87569) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-09-10 |