| NPI | 1043148869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREGEIN JEAN-PANEL Administrator 347-652-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |