| NPI | 1235448077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUNMI OLUYINKA OJO Executive Director 631-789-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 051049) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 065966) |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 065966) | |
| 251S00000X (Licence: NY 065966) | |
| 251V00000X Voluntary or Charitable (Licence: NY 065966) | |
| 251X00000X (Licence: NY 065966) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 065966) | |
| 253Z00000X In Home Supportive Care (Licence: NY 065966) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2017-03-28 |