| NPI | 1811381296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BANGA Senior Vice President 516-992-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-04-23 |