Organization
CHOSEN BY DIVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJA-RAE ROBINSON LMSW (PROGRAM DIRECTOR)
(914) 570-4824
Entity
Organization
Contact information
Practice address
100 LANE CREST AVE, NEW ROCHELLE, NY 10805-1450
(914) 570-4824
Mailing address
100 LANE CREST AVE APT 1C, NEW ROCHELLE, NY 10805-1449
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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