Organization
SPOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MCCREEDY (PRESIDENT)
(212) 473-0011
Entity
Organization
Contact information
Practice address
611 BROADWAY, SUITE 908, NEW YORK, NY 10012-2608
(212) 473-0011
Mailing address
611 BROADWAY, SUITE 908, NEW YORK, NY 10012-2608
(212) 473-0011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
011361-1
NY
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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