| NPI | 1891559555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN GOLDBERGER Chief Operating Officer 718-419-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |