| NPI | 1780826420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA KABZAN-VAYNMAN President 917-428-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 009090) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 009090) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2014-04-09 |