| NPI | 1396284659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITHA QUIAMBAO Program Director 917-745-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-09-21 |