Organization
REALIZATION CENTER
Active
Organization
REALIZATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA SHATULINA BS, AOS (OPERATIONS MANAGER)
(212) 627-9600
Entity
Organization
Contact information
Practice address
19 UNION SQ W, 7TH FLOOR, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Mailing address
19 UNION SQ W, 7TH FLOOR, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
89756
NY
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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