NPI | 1568745792 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH MEDINA Owner 347-236-7847 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 002031) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2011-09-23 |