Organization
RIVERDALE MENTAL HEALTH CLINIC-MICA PGRM
Active
Organization
RIVERDALE MENTAL HEALTH CLINIC-MICA PGRM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BREWSTER LCSW (EXECUTIVE DIRECTOR)
(718) 796-5300
Entity
Organization
Contact information
Practice address
5676 RIVERDALE AVE, SUITE 202, BRONX, NY 10471-2138
(718) 796-5300
Mailing address
5676 RIVERDALE AVE, SUITE 202, BRONX, NY 10471-2138
(718) 796-5300
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6733100A
NY
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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