| NPI | 1265982722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS J RIVERA Executive Director 646-642-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2017-03-02 |