Provider First Line Business Practice Location Address:
234 EAST 149TH ST
Provider Second Line Business Practice Location Address:
DV MENTAL HEALTH INITIATIVE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-532-7103
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2023