| NPI | 1790507374 |
|---|---|
| Former Legal Business Name | RAISIN KINGS & QUEENS |
| Entity Type | Organization |
| Authorized Contact | JANICESSA COLEMAN CEO 614-956-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |