Organization
ADDICTION RESEARCH TX. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS OTERA THOMAS LCSW-P (MENTAL HEALTH)
(212) 690-0632
Entity
Organization
Contact information
Practice address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2809
(212) 864-5087
Mailing address
PO BOX 263, NEW YORK, NY 10039-0241
(212) 690-0632
(212) 864-5087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PO58646-1
NY
Other
Enumeration date
05/24/2007
Last updated
06/13/2008
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