Organization
QUALITY CARE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASIME SONNY (CEO)
(718) 541-0070
Entity
Organization
Contact information
Practice address
1025 DULLES AVE APT 922, STAFFORD, TX 77477-5745
(718) 541-0070
Mailing address
1025 DULLES AVE APT 922, STAFFORD, TX 77477-5745
(718) 541-0070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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