| NPI | 1669861126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN CHASE Executive Director 516-776-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-12-14 |