| NPI | 1962227561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEZELL P MOORE Special Education Teacher 347-623-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |