| NPI | 1871274928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTOR GRINBERG Program Director 646-464-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |