Organization
COORDINATED BEHAVIORAL CARE IPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIKA MILLS LCSW,LCAT (EXECUTIVE DIRECTOR)
(646) 930-8803
Entity
Organization
Contact information
Practice address
1401 TELLER AVE, BRONX, NY 10456-1002
(718) 215-2100
(718) 293-3815
Mailing address
123 WILLIAM ST FL 19, NEW YORK, NY 10038-3804
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
03/17/2018
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