| NPI | 1114626884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALEXANDER CORDOVA Director 718-775-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |