Organization
THIS TOO SHALL PAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HENRY BROWN JR. MAC, NCAC1, RAS (BOARD CERTIFIED PRACTITIONER)
(718) 918-1716
Entity
Organization
Contact information
Practice address
1530 OVERING ST, BRONX, NY 10461-3106
(917) 975-9731
Mailing address
1530 OVERING ST, BRONX, NY 10461-3106
(917) 975-9731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2180
NC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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