Organization
THE MAURICE MAYNARD FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEVON MAURICE WATSON (PRESIDENT/FOUNDER)
(917) 873-5966
Entity
Organization
Contact information
Practice address
932 EASTERN PKWY, 402/4B, BROOKLYN, NY 11213-3636
(917) 873-5966
Mailing address
932 EASTERN PKWY, 402/4B, BROOKLYN, NY 11213-3636
(917) 873-5966
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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