| NPI | 1578270559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEE YOUNG-OKEEFE Partner 646-423-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |