| NPI | 1538029293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGINA FIORENTINO Lcasa Counselor/Tcm Supervisor 917-841-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |