Organization
YESODOT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILANA RACHNAEV LMSW (SENIOR CLINICAL DIRECTOR/COFOUNDER)
(347) 617-3502
Entity
Organization
Contact information
Practice address
110-06 69TH AVE, FOREST HILLS, NY 11375
(347) 617-5751
Mailing address
110-06 69TH AVE, FOREST HILLS, NY 11375
(347) 617-5751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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