Organization
SERVICES FOR THE UNDERSERVED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON COSTINE MA, CASAC-T (COUNSELOR)
(646) 401-9700
Entity
Organization
Contact information
Practice address
1366 INWOOD AVE, BRONX, NY 10452-3203
(646) 401-9700
Mailing address
1366 INWOOD AVE, BRONX, NY 10452-3203
(646) 401-9700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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