| NPI | 1144933904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL DISKINT CEO 862-812-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2023-02-22 |