| NPI | 1639937436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA SAGIDULLINA Program Director 929-434-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |