| NPI | 1528754629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA SKARINKO President 347-893-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-17 |