Organization
TRI CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE GONZALEZ LCSW (PRES/CEO)
(212) 268-8830
Entity
Organization
Contact information
Practice address
1369 BROADWAY, NEW YORK, NY 10018-7200
(212) 268-8830
Mailing address
1369 BROADWAY, NEW YORK, NY 10018-7200
(212) 268-8830
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
070711041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292488
—
NY
Enumeration date
07/20/2006
Last updated
03/18/2015
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