| NPI | 1225578560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ROSENBERG Director 347-866-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020354) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 020354) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-10 |