Organization
BRAVE NEW THINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ROBERTO ALVAYERO LPC (LICENSED PROFESSIONAL COUNSELOR)
(516) 633-3214
Entity
Organization
Contact information
Practice address
1123 AGNEW DR, DREXEL HILL, PA 19026-1807
(516) 633-3214
Mailing address
1123 AGNEW DR, DREXEL HILL, PA 19026-1807
(516) 633-3214
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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