| NPI | 1780376319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAODAN JIANG Program Director 631-912-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-09-07 |