| 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 |