Rose Willow Therapy Llc | |
8225 215th St Queens Vlg NY 11427-1407 | |
(347) 251-7399 | |
Not Available |
Full Name | Rose Willow Therapy Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8225 215th St, Queens Vlg, New York |
Authorized Official Name and Position | Maribel Diaz Mcgouh (CEO) |
Authorized Official Contact | 3472517399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rose Willow Therapy Llc 8225 215th St Queens Vlg NY 11427-1407 Ph: (347) 251-7399 | Rose Willow Therapy Llc 8225 215th St Queens Vlg NY 11427-1407 Ph: (347) 251-7399 |
NPI Number | 1235914128 |
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Provider Enumeration Date | 08/29/2023 |
Last Update Date | 08/29/2023 |
Certification Date | 08/24/2023 |
Identifier | Type | State | Issuer |
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1235914128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |