| NPI | 1982065868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES CAMACHO Service Coordinator 646-229-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |