| NPI | 1518456110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYLA SUDAIRI Administrative Director For Billing 646-367-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 7002185R) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2024-05-29 |