| NPI | 1639686595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAELA KAYKOVA CEO 718-200-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |