| NPI | 1053173450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS RIVERA President 631-310-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |