Organization
MG DEVELOPMENTAL SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA GUPTA (OWNER/DEVELOPMENTAL THERAPIST)
(919) 931-0442
Entity
Organization
Contact information
Practice address
107 PARK JAMES WAY, CARY, NC 27518-6822
(919) 931-0442
Mailing address
107 PARK JAMES WAY, CARY, NC 27518-6822
(919) 931-0442
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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