| NPI | 1891453569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY AZAYEV President 718-207-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2026-02-16 |