| NPI | 1194571729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE GARSAYNEE Member 347-938-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-26 |