| NPI | 1609639624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYRAM ATTIKPO Administrator 917-972-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-05 |