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, NEW YORK, NY 10006-1705
(212) 385-3030
Mailing address
123 WILLIAM STREET, 19TH FLOOR, NEW YORK, NY 10038
(646) 930-8803
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
12/12/2018
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