| NPI | 1083070221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KIM Co Founder 929-266-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2017-02-24 |