| NPI | 1639863004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA POPOVA Head Of The Board Of Directors 917-972-9854 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |