Organization
ROSE WILLOW THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL DIAZ MCGOUH LCSW (CEO)
(347) 251-7399
Entity
Organization
Contact information
Practice address
8225 215TH ST, QUEENS VLG, NY 11427-1407
(347) 251-7399
Mailing address
8225 215TH ST, QUEENS VLG, NY 11427-1407
(347) 251-7399
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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