| NPI | 1992574404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOROD NOFAL Speech Language Pathologist 347-701-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |