Organization
SOUTH-MAGELLAN CORPORATION
Active
Other names
Instituto Hispano de Psicologia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIANO CASANOVA LMHC (DIRECTOR)
(718) 554-1103
Entity
Organization
Contact information
Practice address
3753 90TH ST, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7836
(718) 554-1103
(718) 554-1739
Mailing address
3753 90TH ST, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7836
(718) 554-1103
(718) 554-1739
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
01/30/2008
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