| NPI | 1922518125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA FRANCES JACKSON President 917-594-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 109522413) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |