NPI | 1699842401 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M. DOLD Controller 718-906-5440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 6143300) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |