Columbus Park Behavioral Health, Lcsw, Llc

NPI 1104118876 - Social Worker - 1041C0700X

NPI Details
NPI 1104118876
Enumeration Date 05/12/2011
Last Updated 08/09/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MELISSA MELISSA
Position CLINICAL DIRECTOR
Phone (646) 245-2021
Fax
Practice Location
210 CENTRAL PARK SOUTH
NEW YORK NY, 10019, US
Phone (646) 245-2021
Fax
Business Location
210 CENTRAL PARK SOUTH
NEW YORK NY, 10019, US
Phone (646) 245-2021
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 077255
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According to our database, Columbus Park Behavioral Health, Lcsw, Llc NPI is 1104118876, taxonomy code is 1041C0700X and license number is 077255, license state is located at New York. Columbus Park Behavioral Health, Lcsw, Llc physically located at 210 Central Park South, New York NY, 10019. NPI Number 1033115704 has the healthcare provider type.

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1104118876 NPI number is provided on an as is basis without warranty of any kind. 1104118876 is maintained by the National Plan & Provider Enumeration System. The contents of Columbus Park Behavioral Health, Lcsw, Llc are for informational purposes only.