Organization
VIVID MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATERYNA STERN (CEO)
(347) 575-7997
Entity
Organization
Contact information
Practice address
37 CONGER ST, STATEN ISLAND, NY 10305-4505
(347) 575-7997
(718) 368-0508
Mailing address
37 CONGER ST, STATEN ISLAND, NY 10305-4505
(347) 575-7997
(718) 368-0508
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
11/13/2024
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