# MINDS WITH PURPOSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871274928
- **Authorized official:** MR. VIKTOR GRINBERG MBA (PROGRAM DIRECTOR)
- **Authorized official phone:** (646) 464-4884

## Contact information

- **Practice address:** 1110 SOUTH AVE, STATEN ISLAND, NY 10314-3403
- **Practice address phone:** (718) 698-6905
- **Mailing address:** 4 ROMER RD, STATEN ISLAND, NY 10304-1227
- **Mailing address phone:** (646) 464-4884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2023
- **Last updated:** 07/31/2023