Organization
164TH STREET CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KNAUST LCSW (CLINICAL SUPERVISOR)
(718) 428-2640
Entity
Organization
Contact information
Practice address
4535 194TH ST, FLUSHING, NY 11358-3533
(718) 428-2640
Mailing address
4535 194TH ST, FLUSHING, NY 11358-3533
(718) 428-2640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
075936
NY
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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