| NPI | 1316607849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER RUSSO General Manager 631-413-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-12-24 |
| Last Update Date | 2022-07-06 |