Organization
DAMASCUS ROAD
Active
Organization
DAMASCUS ROAD
Active
Other names
House of Healing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERICK JAMISON (DIRECTOR)
(718) 207-9911
Entity
Organization
Contact information
Practice address
1057 HANCOCK ST, BROOKLYN, NY 11221-5116
(718) 207-9911
(718) 485-1873
Mailing address
1839 ROCKAWAY PKWY, BROOKLYN, NY 11236-5005
(718) 207-9911
(718) 485-1873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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