Comprehensive Due Diligence
Baseline assessment for Coastal ABA Therapy. Answers drive the recommended consulting package and identify gaps for remediation.
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Section 1 of 16
Organizational information
Corporate identity, ownership, and operating footprint.
Legal name of organization
DBA(s), if applicable
Date organization established
State(s) of operation
Tax ID / EIN
NPI Type 2
Insurance or Payer Provider Number(s)
Primary office address
Additional service locations
Website
Organizational structure
Ownership structure and percentage ownership
List all affiliated entities or related organizations
Identify all owners, executives, and operational leadership
Is there a formal organizational chart?
Has the organization defined a vision statement?
Has the organization defined a mission statement?