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Organization
SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC
Active
Organization
SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC
Active
Parent organization
SUS-MENTAL HEALTH PROGRAMS, INC.
Other names
SUS Wellness Works Mental Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUS-MENTAL HEALTH PROGRAMS, INC.
Authorized official
LIN L. YANG MBA (DIRECTOR OF MEDICAID BILLING)
(917) 408-1642
Entity
Organization
Contact information
Practice address
305 7TH AVE, NEW YORK, NY 10001-6008
(917) 408-1611
Mailing address
305 7TH AVE, NEW YORK, NY 10001-6008
(917) 408-1611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R033460-1
NY
2084P0800X
Psychiatry Physician
216593-1
NY
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
05/02/2007
Last updated
03/17/2015
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