Organization
EXCEPTIONAL WELLNESS OF NEW YORK INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNIKA BLATE (ADMINISTRATOR)
(332) 255-7113
Entity
Organization
Contact information
Practice address
276 5TH AVE, NEW YORK, NY 10001-4509
(332) 255-7113
Mailing address
2440 TEXAS PKWY STE 335, MISSOURI CITY, TX 77489-4098
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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