| NPI | 1407118441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KLYACHKO Teacher 917-696-7319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 174.400000x) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |