| NPI | 1932652542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LAMICELLA Behavioral Analyst 917-345-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 478378041) |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2016-07-31 |