NPI | 1992238034 |
---|---|
Entity Type | Organization |
Authorized Contact | MA THERESA CRUZATE BIHASA President 516-354-0514 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |