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Organization

YES I CAN OF OR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YES I CAN OF OR LLC (CEO)
(718) 123-4567
Entity
Organization

Contact information

Practice address
5309 18TH AVE STE 300, BROOKLYN, NY 11204-1523
(718) 370-3033
Mailing address
5309 18TH AVE STE 300, BROOKLYN, NY 11204-1523

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary

Other

Enumeration date
11/01/2024
Last updated
11/01/2024
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