| NPI | 1245723717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILENA A BOEVA President 646-853-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 1226316) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-06-10 |