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Organization
POSTGRADUATE CENTER FOR MENTAL HEALTH
Active
Organization
POSTGRADUATE CENTER FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA NICOLE SAM L.M.S.W. (FEE FOR SERVICE THERAPIST)
(212) 665-1860
Entity
Organization
Contact information
Practice address
3525 HULL AVE, BRONX, NY 10467-1604
(718) 942-6200
(718) 652-4324
Mailing address
3525 HULL AVE, BRONX, NY 10467-1604
(718) 942-6200
(718) 652-4324
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
084660
NY
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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