| NPI | 1285910828 |
|---|---|
| Doing Business As | ICCD |
| Entity Type | Organization |
| Authorized Contact | DAVID LOCKER Executive Director 718-428-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |