Organization
DAMON HOUSE NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET M LERNER PH.D, LCSW-R (EXECUTIVE DIRECTOR)
(718) 858-0202
Entity
Organization
Contact information
Practice address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(917) 741-7157
(718) 257-5560
Mailing address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(917) 741-7157
(718) 257-5560
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154669661
NPI#
NY
Enumeration date
01/18/2013
Last updated
09/06/2016
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