| NPI | 1558679043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WOLFE MEDINA President 347-236-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 002031-1) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |