Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE GINA LACHOFF LCSW (CLINICAL SUPERVISOR)
17187791831
Entity
Organization
Contact information
Practice address
91-14 37TH AVE, JACKSON HEIGHTS, NY 11372
(171) 877-9183
Mailing address
91-14 37TH AVE, JACKSON HEIGHTS, NY 11372
(171) 877-9183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
082034
NY
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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