| NPI | 1831452655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA MANDJAVIDZE School Psychologist 718-361-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |