| NPI | 1982971511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAISIYA KARADIMOVA President 6463-440-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 699421) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |