| Mg Developmental Support Services Llc | |
|
107 Park James Way Cary NC 27518-6822 | |
| (919) 931-0442 | |
| Not Available |
| Full Name | Mg Developmental Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Park James Way, Cary, North Carolina |
| Authorized Official Name and Position | Monika Gupta (OWNER/DEVELOPMENTAL THERAPIST) |
| Authorized Official Contact | 9199310442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mg Developmental Support Services Llc 107 Park James Way Cary NC 27518-6822 Ph: (919) 931-0442 | Mg Developmental Support Services Llc 107 Park James Way Cary NC 27518-6822 Ph: (919) 931-0442 |
| NPI Number | 1619656444 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619656444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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