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Organization

RESOURCE RAE OF HOPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA MAE DEPOLA CASAC (PRESIDENT)
(929) 295-2093
Entity
Organization

Contact information

Practice address
449 39TH ST, FLOOR 3, BROOKLYN, NY 11232-2909
(929) 295-2093
Mailing address
449 39TH ST, FLOOR 3, BROOKLYN, NY 11232-2909
(929) 295-2093

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
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