| NPI | 1003215732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM AGAFONOV C.O.O 646-315-3615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2015-12-11 |