CHAQUONA WOOD

BRONX, NY
NPI1396194866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  170711466)
Enumeration Date2016-06-06
Last Update Date2016-06-06
Business Address
-- CHAQUONA WOOD
2488 GRAND CONCRS
BRONX, NY 10458-5203
Phone number: 718-584-7204
Mailing Address
-- CHAQUONA WOOD
2488 GRAND CONCRS
BRONX, NY 10458-5203
Phone number: 718-584-7204