| NPI | 1023995255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVID HALON Manager 718-687-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-11-19 |