Organization
INWOOD COMMUNITY SERVICES
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
Mailing address
651 ACADEMY ST, NEW YORK, NY 10034-5003
(212) 942-0043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
079786-1
NY
Other
Enumeration date
05/02/2011
Last updated
06/01/2016
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