| NPI | 1174167589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BRYANT Director 631-647-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |