NPI | 1043766462 |
---|---|
Entity Type | Organization |
Authorized Contact | INGY ADAM Service Coordinator 845-527-6496 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 252y00000x) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 323700000x) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2016-08-26 |