Provider First Line Business Practice Location Address:
327 E 17TH
Provider Second Line Business Practice Location Address:
THE ROBERT MAPPLETHORPE RESIDENTIAL TREATMENT CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-5693
Provider Business Practice Location Address Fax Number:
212-256-3595
Provider Enumeration Date:
12/12/2006