Organization
DMH ENVIRONMENTAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN VICTOR BRACKETT (CEO)
(917) 363-8618
Entity
Organization
Contact information
Practice address
1776 BROADWAY STE 1410, NEW YORK, NY 10019-2030
(917) 363-8618
(212) 504-2697
Mailing address
11111 BISCAYNE BLVD # 712, MIAMI, FL 33181-3404
(917) 363-8618
(212) 504-2697
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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