Provider First Line Business Practice Location Address:
CHILD MIND INSTITUTE
Provider Second Line Business Practice Location Address:
445 PARK AVE FL 2
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022-8649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-625-4321
Provider Business Practice Location Address Fax Number:
646-625-4348
Provider Enumeration Date:
08/03/2017