CHRIST BASED THERAPY LCSW P.C.
Agencies at Hillside Ave, Jamaica, NY

License number
New York R075177-1
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: ANITA ESTHER LA ROSA LCSW-R
Title: CLINICAL DIRECTOR
Phone: (917) 562-7354
Address
Address
18240 Hillside Ave FLOOR 1ST, Jamaica, NY 11432
National Provider ID: 1700139466
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHRIST BASED THERAPY LCSW PC

Jamaica, NY

Industry:
Specialty Outpatient Clinic
Registration:
Jun 20, 2012
Addresses:
182-40 Hillside Ave, Jamaica, NY 11432 (Physical)
18240 Hillside Ave, Jamaica, NY 11432
State ID:
4261365
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Anita E. La Rosa, 144-58 177 St, Jamaica, NY 11434 (Physical)

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