| Rose Willow Therapy Llc | |
|
8225 215th St Queens Vlg NY 11427-1407 | |
| (347) 251-7399 | |
| Not Available |
| Full Name | Rose Willow Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8225 215th St, Queens Vlg, New York |
| Authorized Official Name and Position | Maribel Diaz Mcgouh (CEO) |
| Authorized Official Contact | 3472517399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Willow Therapy Llc 8225 215th St Queens Vlg NY 11427-1407 Ph: (347) 251-7399 | Rose Willow Therapy Llc 8225 215th St Queens Vlg NY 11427-1407 Ph: (347) 251-7399 |
| NPI Number | 1235914128 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235914128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |