Organization
NORTH CROWN HEIGHTS FAMILY OUTREACH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHOLET DESIR MD (MEDICAL DIRECTOR)
(718) 398-8700
Entity
Organization
Contact information
Practice address
765 NOSTRAND AVE, BROOKLYN, NY 11216-4203
(718) 398-8700
(718) 398-5770
Mailing address
765 NOSTRAND AVE, BROOKLYN, NY 11216-4203
(718) 398-8700
(718) 398-5770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
050411459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02252972
—
NY
Enumeration date
01/07/2007
Last updated
12/27/2024
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