Bronx Addiction Treatment Center | |
1500 Waters Place Building 13 Bronx Psychiatric Center Bronx NY 10461-2723 | |
(718) 904-0026 | |
(718) 823-2048 |
Full Name | Bronx Addiction Treatment Center |
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Speciality | Community/behavioral Health |
Location | 1500 Waters Place, Bronx, New York |
Authorized Official Name and Position | Michael A Lawler (ASSOCIATE COMMISSIONER DIVISION OF) |
Authorized Official Contact | 5184575312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bronx Addiction Treatment Center 1500 Waters Place Building 13 Bronx Psychiatric Center Bronx NY 10461-2723 Ph: (718) 904-0026 | Bronx Addiction Treatment Center 1500 Waters Place Building 13 Bronx Psychiatric Center Bronx NY 10461-2723 Ph: (718) 904-0026 |
NPI Number | 1013099498 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013099498 | NPI | - | NPPES |
01423409 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (New York) | Primary |
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