| NPI | 1154788412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA KHAVIN President 718-864-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2022-12-02 |