| NPI | 1922510676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA WILLIAMS Teacher/Owener 917-804-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |