| NPI | 1962072496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA B MOQUETE Ei Service Coordinator 347-892-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |