Organization
GROWTH CENTRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA BOHENSKY PH.D. (CLINICAL DIRECTOR)
(212) 749-3684
Entity
Organization
Contact information
Practice address
750 COLUMBUS AVE, SUITE 9S, NEW YORK, NY 10025-6464
(212) 749-3684
(212) 749-7872
Mailing address
750 COLUMBUS AVE, SUITE 9S, NEW YORK, NY 10025-6464
(212) 749-3684
(212) 749-7872
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
012472
NY
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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