Organization
CONNECTIVE INTELLIGENCE, INCORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE OHEBSHALOM (DIRECTOR)
(914) 843-6456
Entity
Organization
Contact information
Practice address
180 RIVERSIDE BLVD, NEW YORK, NY 10069-0801
(914) 843-6456
Mailing address
180 RIVERSIDE BLVD, NEW YORK, NY 10069-0801
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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