Organization
COMMUNITY PARTNERSHIP RESOURCE AND REFERRALS
Active
Other names
Community Partnership Referrals and Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACIE THEOTOKAS LCSW (SOCIAL WORKER)
71822488010
Entity
Organization
Contact information
Practice address
25410 NORTHERN BLVD, SUITE 204, LITTLE NECK, NY 11362-1415
(718) 224-2010
(718) 225-3366
Mailing address
25410 NORTHERN BLVD, SUITE 204, LITTLE NECK, NY 11362-1415
(718) 224-2010
(718) 225-3366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
074639
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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