| NPI | 1740059229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CAMPO Owner 917-435-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-04-12 |