Organization
COORDINATED BEHAVIORAL CARE, INC
Active
Organization
COORDINATED BEHAVIORAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE R PETIT MD (PRESIDENT & CEO)
(636) 930-8803
Entity
Organization
Contact information
Practice address
40 RECTOR ST, 11TH FLOOR, NEW YORK, NY 10006-1705
(212) 385-3030
(212) 619-7275
Mailing address
123 WILLIAM STREET, 19TH FLOOR, NEW YORK, NY 10038
(646) 930-8803
(212) 619-7275
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
12/12/2018
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