| NPI | 1881212645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA CASIMIR Primary Care Provider 347-495-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-07-17 |