Realization Center
Clinic/Center, Rehabilitation, Substance Use Disorder in New York, NY. Organization (NPI-2).
NPI number1972932465
StatusActive
Last updated in NPPESNov 5, 2013
Details
- NPI
- 1972932465
- Entity type
- Organization (NPI-2)
- Legal business name
- Realization Center
- Organization subpart
- No
- Enumeration date
- Nov 5, 2013
- Last updated
- Nov 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 89756 | NY | Yes |
Practice location
19 Union Sq W7th Floor
New York, NY 10003-3304
Phone 212-627-9600 · Fax 212-627-4040
Mailing address
19 Union Sq W7th Floor
New York, NY 10003-3304
Phone 212-627-9600 · Fax 212-627-4040
Authorized official
Natalia Shatulina
Operations Manager
2126279600
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