| Addiction Research Tx. Corp | |
|
119 W 124th St New York NY 10027-4920 | |
| (212) 932-2809 | |
| (212) 864-5087 |
| Full Name | Addiction Research Tx. Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 W 124th St, New York, New York |
| Authorized Official Name and Position | Phyllis Otera Thomas (MENTAL HEALTH) |
| Authorized Official Contact | 2126900632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Research Tx. Corp Po Box 263 New York NY 10039-0241 Ph: (212) 690-0632 | Addiction Research Tx. Corp 119 W 124th St New York NY 10027-4920 Ph: (212) 932-2809 |
| NPI Number | 1194936260 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194936260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PO58646-1 (New York) | Primary |
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