Organization
INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EISENACH (AT & TRAUMA ADMINISTRATOR)
(212) 333-3444
Entity
Organization
Contact information
Practice address
1841 BROADWAY FL 4, NEW YORK, NY 10023-7603
(212) 333-3444
Mailing address
1841 BROADWAY FL 4, NEW YORK, NY 10023-7603
(212) 333-3444
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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