Organization
SUS
Active
Other names
Palladia, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WIERBICKI LMSW (PROGRAM MANAGER)
(212) 722-7507
Entity
Organization
Contact information
Practice address
170 E 107TH ST, NEW YORK, NY 10029-3905
(212) 722-7507
(212) 722-7583
Mailing address
170 E 107TH ST, NEW YORK, NY 10029-3905
(212) 722-7507
(212) 722-7583
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
150511551
NY
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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