| NPI | 1366251530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE LOUZEH Member 347-576-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-04-15 |