Organization
SAMARITAN VILLAGE HARLEM OUTPATIENT
Active
Parent organization
SAMARITAN VILLAGE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN VILLAGE, INC.
Authorized official
SHARON JOHNSON CASAC (CASEWORKER)
(212) 864-4128
Entity
Organization
Contact information
Practice address
55 W 125TH ST, 11TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Mailing address
55 W 125TH ST, 11TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
31027
NY
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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