Organization
OFFICE OF MENTAL HEALTH
Active
Other names
NYCCC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE NICHOLS LMSW (SOCIAL WORKER)
(718) 264-4831
Entity
Organization
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4831
(718) 264-4886
Mailing address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4831
(718) 264-4886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
073322-1
NY
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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