| NPI | 1861241135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SCHIEBER Managing Member 516-620-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 104100000X Social Worker |
| 171400000X | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |