| NPI | 1255926705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REYES Administrator 917-417-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2021-07-08 |