| NPI | 1174100457 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | BEVERLEY D ADJMUL President/ 347-886-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-08-23 |