| NPI | 1629857529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JISSETTE PICHARDO Executive Director 347-307-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-01-24 |