Organization
SHELTERING ARMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADREAMA T MACON L.M.S.W (MENTAL HEALTH THERAPIST)
(631) 294-5634
Entity
Organization
Contact information
Practice address
13323 127TH ST, SOUTH OZONE PARK, NY 11420-3301
(631) 294-5634
Mailing address
13323 127TH ST, SOUTH OZONE PARK, NY 11420-3301
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
087757
NY
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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