| NPI | 1720536337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DACRE CEO 347-489-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NY 337712658) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 337712658) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |