Organization
RADIANT SELF THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE VOLLONO (OWNER)
(860) 810-0371
Entity
Organization
Contact information
Practice address
68 HAUSMAN ST APT 3, BROOKLYN, NY 11222-7111
(860) 810-0371
Mailing address
68 HAUSMAN ST APT 3, BROOKLYN, NY 11222-7111
(860) 810-0371
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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