Organization
RENFREW CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL MARIE PURVIS LCSW (SITE DIRECTOR)
21268586856
Entity
Organization
Contact information
Practice address
11 E 36TH ST, SECOND FLOOR, NEW YORK, NY 10016-3318
(212) 685-6856
(212) 686-1865
Mailing address
11 E 36TH ST, SECOND FLOOR, NEW YORK, NY 10016-3318
(212) 685-6856
(212) 686-1865
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R032876
NY
305R00000X
Preferred Provider Organization
R032876
NY
305S00000X
Point of Service
R032876
NY
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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