| NPI | 1962649467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE REVA REID Owner 607-669-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 005407-1) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |