Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TALIA DUBOIS B.A. (REHAB AIDE)
(718) 639-0700
Entity
Organization
Contact information
Practice address
1020 TRINITY AVE, BRONX, NY 10456-6912
(646) 351-5771
Mailing address
1020 TRINITY AVE, BRONX, NY 10456-6912
(646) 351-5771
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
669595172
NY
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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