Provider First Line Business Practice Location Address:
115 WEST 27TH STREET
Provider Second Line Business Practice Location Address:
4TH FLOOR, TRAINING INSTITUTE OF MENTAL HEALTH
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-627-8181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2017