DAVID MATTHEW LOGAN

BRONX, NY
NPI1154983336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
Mr. DAVID MATTHEW LOGAN CASAC-II
1175 GRAND CONCOURSE FL 8
BRONX, NY 10452-8549
Phone number: 212-665-1860
Mailing Address
Mr. DAVID MATTHEW LOGAN CASAC-II
1175 GRAND CONCOURSE FL 8
BRONX, NY 10452-8549
Phone number: 212-665-1860
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