Organization
THE PORT MORRIS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH CHURCH MD (DIRECTOR OF OPERATIONS)
(718) 409-9450
Entity
Organization
Contact information
Practice address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
(718) 665-4768
Mailing address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
(718) 665-4768
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
00214
NY
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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