Organization
POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RAQUEL JOHNSON B.S PSYCHOLOGY (CHIEF EXECUTIVE DIRECTOR)
(914) 885-5093
Entity
Organization
Contact information
Practice address
649 BRONX RIVER ROAD, 3R, YONKERS, NY 10704
(914) 885-5093
Mailing address
649 BRONX RIVER ROAD, 3R, YONKERS, NY 10704
(914) 885-5093
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06368170
—
NY
Enumeration date
08/22/2021
Last updated
08/28/2024
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