| Poised Ondemand-promoting Opulence In Social Emotional Development Llc | |
|
Poised Ondemand-promtoing Opulence In Social Emotional 800 Third Avenue, Frnt A #1306 New York NY 10022 | |
| (914) 885-5093 | |
| (833) 699-4702 |
| Full Name | Poised Ondemand-promoting Opulence In Social Emotional Development Llc |
|---|---|
| Speciality | Case Management |
| Location | Poised Ondemand-promtoing Opulence In Social Emotional, New York, New York |
| Authorized Official Name and Position | Raquel Johnson (CEO) |
| Authorized Official Contact | 9145077576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poised Ondemand-promoting Opulence In Social Emotional Development Llc 5 Union Sq W # 1471 New York NY 10003-3306 Ph: (914) 507-7576 | Poised Ondemand-promoting Opulence In Social Emotional Development Llc Poised Ondemand-promtoing Opulence In Social Emotional 800 Third Avenue, Frnt A #1306 New York NY 10022 Ph: (914) 885-5093 |
| NPI Number | 1073157681 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 12/30/2023 |
| Certification Date | 12/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073157681 | NPI | - | NPPES |
| 06368170 | Medicaid | NY |
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