Organization
ON SWITCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLENE CLARKE LCSW (OWNER)
(917) 975-3360
Entity
Organization
Contact information
Practice address
4048 EDSON AVE, BRONX, NY 10466-2244
(917) 975-3360
Mailing address
PO BOX 3103, MOUNT VERNON, NY 10553-3103
(917) 975-3360
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
04/06/2022
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