Organization
MUSTARD SEED FORENSIC LICENSED CLINICAL SOCIAL WORK SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT JOHNSON J.D. (DIR. BUSINESS & LEGAL)
(718) 875-7425
Entity
Organization
Contact information
Practice address
2625 ATLANTIC AVE, BROOKLYN, NY 11207-2407
(718) 875-7425
Mailing address
2625 ATLANTIC AVE, BROOKLYN, NY 11207-2407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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