Organization
TAYLORMAYD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BULLOCK B.S. CASAC-T (PROGRAM DIRECTOR)
(718) 829-3617
Entity
Organization
Contact information
Practice address
51 WESTCHESTER SQ, BRONX, NY 10461-3526
(718) 829-3617
(718) 829-2997
Mailing address
51 WESTCHESTER SQ, BRONX, NY 10461-3526
(718) 829-3617
(718) 829-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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