| NPI | 1023528379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FOWLER Director 646-418-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2022-07-21 |