| Mustard Seed Forensic Licensed Clinical Social Work Services P.c. | |
|
2625 Atlantic Ave Brooklyn NY 11207-2407 | |
| (718) 875-7425 | |
| Not Available |
| Full Name | Mustard Seed Forensic Licensed Clinical Social Work Services P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2625 Atlantic Ave, Brooklyn, New York |
| Authorized Official Name and Position | Scott Johnson (DIR. BUSINESS & LEGAL) |
| Authorized Official Contact | 7188757425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Seed Forensic Licensed Clinical Social Work Services P.c. 2625 Atlantic Ave Brooklyn NY 11207-2407 Ph: () - | Mustard Seed Forensic Licensed Clinical Social Work Services P.c. 2625 Atlantic Ave Brooklyn NY 11207-2407 Ph: (718) 875-7425 |
| NPI Number | 1831498369 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831498369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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