Organization
LOWER EASTSIDE SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE C WALTERS (VP, HUMAN RESOURCES)
(212) 566-5372
Entity
Organization
Contact information
Practice address
46 E BROADWAY, NEW YORK, NY 10002-6803
(212) 566-5372
(212) 732-5224
Mailing address
80 MAIDEN LN, NEW YORK, NY 10038-4811
(212) 566-5372
(212) 566-7773
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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