Organization
NARCO FREEDOM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DRUCILLA L WILLIAMS LMSW (CHIEF OPERATING OFFICER)
(917) 645-0274
Entity
Organization
Contact information
Practice address
477 WILLIS AVE, BRONX, NY 10455-4015
(917) 645-0274
Mailing address
13115 178TH PL, JAMAICA, NY 11434-5861
(646) 271-4523
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
084745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084745
NEW OFFICE OF PROFESSIONAL SERVICES
NY
Enumeration date
05/07/2015
Last updated
05/07/2015
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