Organization
COLUMBIA UPLIFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIHENG SONG (BOARD OF DIRECTOR)
(212) 729-0544
Entity
Organization
Contact information
Practice address
26 HIGH ST, JERSEY CITY, NJ 07306-1914
(212) 729-0544
Mailing address
312 W 2ND ST # 3548, CASPER, WY 82601-2412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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