Organization
NEW YORK SERVICE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE WARREN BPS, CASAC (PROGRAM DIRECTOR)
(718) 666-1009
Entity
Organization
Contact information
Practice address
198 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2133
(718) 666-1009
(718) 666-4045
Mailing address
198 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2133
(718) 666-1009
(718) 666-4045
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
19202
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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