| NPI | 1568616910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEVEN HTIZIG Director Of Aba Programing 516-767-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2012-06-11 |