Organization
AHRC
Active
Organization
AHRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LOUICK (CHIEF OF MENTAL HEALTH SERVICES)
(212) 895-4493
Entity
Organization
Contact information
Practice address
83 MAIDEN LN, NEW YORK, NY 10038-4812
(212) 895-3459
Mailing address
83 MAIDEN LN, NEW YORK, NY 10038-4812
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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