| NPI | 1891432431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMARR R RIDDICK Chief Officer 718-341-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-08-11 |