| 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 | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-05-31 |