| NPI | 1568390409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SMITH Provider 917-231-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |