Organization
PSCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE HERRERA (DEPUTY DIRECTOR OF CLINICS)
(718) 824-2790
Entity
Organization
Contact information
Practice address
2410 WESTCHESTER AVE, BRONX, NY 10461-3559
(718) 824-2790
Mailing address
2410 WESCHESTER AVENUE, BRONX, NY 10461-3559
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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