| NPI | 1851004899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR GUZMAN President 347-406-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-05-04 |