Organization
BREATHE LICENSED CLINICAL SOCIAL WORK SERVICES
Active
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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