| NPI | 1033584651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANNA MASTOVA President 718-520-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 102827414) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 102827414) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |