Organization
BEHAVIORAL HEALTH NYC IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JAVIS (CHIEF EXECUTIVE OFFICER)
(929) 603-6858
Entity
Organization
Contact information
Practice address
8 W 86TH ST, NEW YORK, NY 10024-3629
(929) 371-1309
Mailing address
8 W 86TH ST, NEW YORK, NY 10024-3629
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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