Organization
PAUL J. COOPER CENTER FOR HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CAMPBELL (BILLING COORDINATOR)
(718) 498-5555
Entity
Organization
Contact information
Practice address
510 GATES AVE, BROOKLYN, NY 11216-1506
(718) 498-5555
(718) 498-6868
Mailing address
510 GATES AVE, BROOKLYN, NY 11216-1506
(718) 498-5555
(718) 498-6868
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
161010577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244931
—
NY
Enumeration date
08/08/2016
Last updated
08/08/2016
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