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Organization
PD THE CENTER CORP
Active
Organization
PD THE CENTER CORP
Active
Other names
The Center at Western Queens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICIO DESTUET LMHC (OWNER)
(718) 672-1538
Entity
Organization
Contact information
Practice address
7410 35TH AVE, SUITE 107 W, JACKSON HEIGHTS, NY 11372-8197
(718) 672-1538
(718) 429-0713
Mailing address
7410 35TH AVE, SUITE 107 W, JACKSON HEIGHTS, NY 11372-8197
(718) 672-1538
(718) 429-0713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1402
NY
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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