Organization
CANARSIE AWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE PEREZ (BILLING MANAGER)
(718) 585-9366
Entity
Organization
Contact information
Practice address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(718) 257-3195
(718) 257-5560
Mailing address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(718) 257-3195
(718) 257-5560
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
C09110554
NY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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