| NPI | 1922984434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA VAIBZURD Director 917-626-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |