Whalio Doctors

NPI 1225202708

Weston United

Organisation Mental Illness Community Based Residential Treatment Facility New York, NY

Practice location

Address
321 W 125th St, New York, NY 10027-3637
Phone
(212) 866-6040

Authorised official

Name
Jean Newburg
Title
Ceo
Phone
(212) 866-6040

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 01305146 (NY)

Registry record

NPI
1225202708
Entity type
Organization
NPI issued
16 Apr 2008
Record last updated
16 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.