| NPI | 1801245071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MONDRONE Bcba 516-492-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 000164-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 000164-1) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |