Organization
AREBA CASRIEL INC.
Active
Other names
Lighthouse INternational
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA RITA LCSW (CLINICAL DIRECTOR)
(212) 293-3000
Entity
Organization
Contact information
Practice address
850 COLUMBUS AVE, APT 2C, NEW YORK, NY 10025-4560
(646) 241-2063
Mailing address
850 COLUMBUS AVENUE, APT 2C, NYC, NY 10025
(646) 241-2063
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
070978-1
NY
324500000X
Substance Abuse Rehabilitation Facility
Primary
070978-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070978-1
LICENSED CLINICAL SOCIAL
NY
Enumeration date
02/13/2007
Last updated
11/13/2007
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