| NPI | 1164976973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIYA BOGDAN President 347-414-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 1323912) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1323912) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |