| NPI | 1124624697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERI E GOLDWURM CEO 718-702-7693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |