Organization
CENTRAL PARK RECOVERY
Active
Organization
CENTRAL PARK RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE INTERVALLO CASAC (CEO/CLINICAL DIRECTOR)
(914) 619-5242
Entity
Organization
Contact information
Practice address
2176 CENTRAL PARK AVE, YONKERS, NY 10710-1826
(914) 447-6153
Mailing address
PO BOX 356, YONKERS, NY 10710-0356
(914) 619-5242
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
04/19/2021
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