| NPI | 1700429602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY MERENER Special Instructor (Aba) 646-404-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |