Organization
SOS PATH TO SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANMOHAN KOMAL (OWNER)
(518) 316-0231
Entity
Organization
Contact information
Practice address
12 BLAKESLEE AVE, NORTH HAVEN, CT 06473-1832
(518) 316-0231
Mailing address
12 BLAKESLEE AVE, NORTH HAVEN, CT 06473-1832
(518) 316-0231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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