| NPI | 1912435959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARNELLA C BRONW Speech And Language Pathologist 347-882-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |