| NPI | 1386722346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LANCE BARKIN Executive Director 718-906-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 6143100) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-09-18 |