Organization
NATHANIEL CHAMBERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON JOHNSON CASAC (PROGRAM DIRECTOR)
(212) 864-4128
Entity
Organization
Contact information
Practice address
801 SAINT ANNS AVE, BRONX, NY 10456-7648
(347) 595-7246
Mailing address
801 SAINT ANNS AVE, BRONX, NY 10456-7648
(347) 595-7246
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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