Provider Demographics
NPI:1831740950
Name:MY GOAL
Entity type:Organization
Organization Name:MY GOAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-886-9462
Mailing Address - Street 1:51 WAVERLY PL
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2705
Mailing Address - Country:US
Mailing Address - Phone:877-886-9462
Mailing Address - Fax:877-886-9462
Practice Address - Street 1:51 WAVERLY PL
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2705
Practice Address - Country:US
Practice Address - Phone:877-886-9462
Practice Address - Fax:877-886-9462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage