Organization
MORRISANIA DIAGNOSTIC AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA ROSA LCSW-R (ASSISTANT CLINIC DIRECTOR)
(718) 960-2865
Entity
Organization
Contact information
Practice address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2972
(718) 960-2948
Mailing address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2972
(718) 960-2948
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
098645
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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