| NPI | 1518730571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER ROTH Member 631-530-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251B00000X Case Management | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |