Organization
ADOL PARNT INWOOD HS TS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LAUSELL BRYANT (EXECUTIVE DIRECTOR)
(212) 861-4400
Entity
Organization
Contact information
Practice address
369 E 148TH ST, BRONX, NY 10455-4041
(718) 742-8100
(718) 742-8099
Mailing address
369 E 148TH ST, BRONX, NY 10455-4041
(718) 742-8100
(718) 742-8099
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01120254
—
NY
Enumeration date
12/11/2006
Last updated
08/22/2020
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