Organization
INWOOD COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CORLISS PH.D. (EXECUTIVE DIRECTOR)
(212) 942-0043
Entity
Organization
Contact information
Practice address
651 ACADEMY ST, NEW YORK, NY 10034-5003
(212) 942-0043
(212) 567-9476
Mailing address
651 ACADEMY ST, NEW YORK, NY 10034-5003
(212) 942-0043
(212) 567-9476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
070510836
NY
251S00000X
Community/Behavioral Health Agency
Primary
7876100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01060402
—
NY
Enumeration date
01/03/2007
Last updated
08/28/2012
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