| NPI | 1215190822 |
|---|---|
| Former Legal Business Name | LAIS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LYDIA RIVERIA Director 718-960-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NY 13174012) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |