NPI | 1528796463 |
---|---|
Entity Type | Organization |
Authorized Contact | MIMI MAMO TESSEMA Occupational Therapist 917-528-0607 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2022-08-09 |
Last Update Date | 2022-08-09 |