| NPI | 1245199116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERLY ALVAREZ Program Director 347-378-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-09-23 |