| NPI | 1932686441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA KOFNER CEO 917-915-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-12-05 |