NPI | 1750877783 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE MA Owner 718-690-0566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 091380) |
Enumeration Date | 2018-07-02 |
Last Update Date | 2018-07-02 |