Organization
RECOVERY COACHING SERVICE OF NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCIOUS CONWAY CARC (CEO)
(718) 514-4560
Entity
Organization
Contact information
Practice address
201 W 122ND ST, 504, NEW YORK, NY 10027-5410
(718) 514-4560
Mailing address
201 W 122ND ST, 504, NEW YORK, NY 10027-5410
(718) 514-4560
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
10/16/2013
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