| Osborne Treatment Services | |
|
809 Westchester Ave Bronx NY 10455-1704 | |
| (718) 707-2600 | |
| (718) 707-3102 |
| Full Name | Osborne Treatment Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 809 Westchester Ave, Bronx, New York |
| Authorized Official Name and Position | Elizabeth Gaynes (PRESIDENT/CEO) |
| Authorized Official Contact | 7187072600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osborne Treatment Services 809 Westchester Ave Bronx NY 10455-1704 Ph: (718) 707-2600 | Osborne Treatment Services 809 Westchester Ave Bronx NY 10455-1704 Ph: (718) 707-2600 |
| NPI Number | 1740497478 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740497478 | NPI | - | NPPES |
| 02225116 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00226388 (New York) | Primary |
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