| NPI | 1841943149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA KOKALENIOS Pres 917-468-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-04-02 |