NPI | 1194977363 |
---|---|
Doing Business As | THRIVE BY 5 |
Entity Type | Organization |
Authorized Contact | JARED BAUER Owner/Member 315-218-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 23867) |
Enumeration Date | 2008-10-18 |
Last Update Date | 2024-11-01 |