| NPI | 1508519521 |
|---|---|
| Former Legal Business Name | LITTLE STARS OF LONG ISLAND INC. |
| Entity Type | Organization |
| Authorized Contact | LAURI SIBBLIES Clinical Director 917-294-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |