| NPI | 1841066842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MATUZA Chief Executive Officer 631-385-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-03-22 |