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Organization

FAMILIES AND INDIVIDUALS IN RECOVERY

Active
Other names
METROPOLITAN CENTER FOR MENTAL HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
SOFIA GEORGOULIAS PSY.D. (DIRECTOR OF FAIR)
(212) 543-4449
Entity
Organization

Contact information

Practice address
1090 SAINT NICHOLAS AVE, UPPER LEVEL, NEW YORK, NY 10032-3809
(212) 543-4449
(212) 543-2326
Mailing address
1090 SAINT NICHOLAS AVE, UPPER LEVEL, NEW YORK, NY 10032-3809
(212) 543-4449
(212) 543-2326

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
071111330
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244335
NY
Enumeration date
12/20/2006
Last updated
02/29/2016
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