| NPI | 1558024836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA STEPANYAN Director 347-421-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2022-03-21 |