KENRICK SINCLAIR HAWTHORNE

BRONX, NY
NPI1447806005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  25248)
Enumeration Date2019-08-09
Last Update Date2020-05-06
Business Address
Mr. KENRICK SINCLAIR HAWTHORNE Advanced CASAC
1064 FRANKLIN AVE
BRONX, NY 10456-6704
Phone number: 718-764-1551
Mailing Address
Mr. KENRICK SINCLAIR HAWTHORNE Advanced CASAC
311 E 175TH ST
BRONX, NY 10457-5848
Phone number: 718-764-1551
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