Organization
BAILEY HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORA CARRERO (DIRECTOR OF CREDENTIALING)
(718) 408-6522
Entity
Organization
Contact information
Practice address
1751 PARK AVE, NEW YORK, NY 10035-2809
(212) 289-6008
Mailing address
1751 PARK AVE FL 4, NEW YORK, NY 10035-2809
(212) 289-6008
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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