Organization
BREATHE LICENSED CLINICAL SOCIAL WORK SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD LAMM (OWNER)
(954) 678-0078
Entity
Organization
Contact information
Practice address
110 E 17TH ST, GARDEN LEVEL, NEW YORK, NY 10003-2178
(954) 678-0078
Mailing address
27 W 20TH ST, UNIT 405, NEW YORK, NY 10011-3707
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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