Organization
PPSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIE GROSVENOR LCSW (EXECUTIVE DIRECTOR)
(212) 633-9162
Entity
Organization
Contact information
Practice address
80 5TH AVE RM 903A, NEW YORK, NY 10011-7611
(212) 633-9162
(212) 675-4386
Mailing address
80 5TH AVE RM 903A, NEW YORK, NY 10011-7611
(212) 633-9162
(212) 675-4386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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