Organization
LEAD BY EXAMPLE, REVERSE THE TREND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HENDRICKSON (CEO)
(732) 430-9020
Entity
Organization
Contact information
Practice address
2916 8TH AVE STE 2, NEW YORK, NY 10039-1619
(732) 430-9020
Mailing address
8 W 126TH ST, NEW YORK, NY 10027-3811
(732) 430-9020
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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