Organization
WILDCAT SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KHOURY (CFO)
(212) 727-4270
Entity
Organization
Contact information
Practice address
210 E 43RD ST, NEW YORK, NY 10017-4713
(212) 209-6000
Mailing address
633 3RD AVE FL 6, NEW YORK, NY 10017-6733
(817) 542-1988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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