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Organization
THIS TOO SHALL PAST
Active
Organization
THIS TOO SHALL PAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HENRY BROWN JR. MAC, NCAC1, RAS (BOARD CERTIFIED PRACTITIONER)
(718) 918-1716
Entity
Organization
Contact information
Practice address
1530 OVERING ST, BRONX, NY 10461-3106
(917) 975-9731
Mailing address
1530 OVERING ST, BRONX, NY 10461-3106
(917) 975-9731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2180
NC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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