| NPI | 1093453474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN T. PASCUAL Owner/President 347-228-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-06-24 |