Organization
WESTON UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN NEWBURG (CEO)
(212) 866-6040
Entity
Organization
Contact information
Practice address
321 W 125TH ST, NEW YORK, NY 10027-3637
(212) 866-6040
Mailing address
321 W 125TH ST, NEW YORK, NY 10027-3637
(212) 866-6040
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
01305146
NY
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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