| NPI | 1982966156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA VELASQUEZ Service Coordinator 646-434-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |