| Mih Victory Inc | |
|
311 Audubon Ave Fl 2 New York NY 10033-4237 | |
| (212) 256-0725 | |
| (917) 261-4704 |
| Full Name | Mih Victory Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 311 Audubon Ave Fl 2, New York, New York |
| Authorized Official Name and Position | Ercilia Garcia (DIRECTOR) |
| Authorized Official Contact | 2122560725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mih Victory Inc 311 Audubon Ave Fl 2 New York NY 10033-4237 Ph: (212) 256-0725 | Mih Victory Inc 311 Audubon Ave Fl 2 New York NY 10033-4237 Ph: (212) 256-0725 |
| NPI Number | 1245698489 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245698489 | NPI | - | NPPES |
| 170111976 | Other | NY | OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 170111976 (New York) | Primary |
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