| NPI | 1942074794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA KHVATIKOVA Special Education Teacher 346-628-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |