| NPI | 1962765644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA VILLEGAS Director 516-576-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY MSED) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |