| NPI | 1194608679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEERA GURUNG Managing Director 347-400-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |