| NPI | 1629223987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JO ANDRETTA Director 631-961-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 1031217) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 099685556) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |