CLEVELAND SHELTON JOSEPH

BRONX, NY
NPI1528232220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
(Licence: NY  101777)
Enumeration Date2008-04-15
Last Update Date2008-04-15
Business Address
Mr. CLEVELAND SHELTON JOSEPH CASAC
4360 FURMAN AVE APT 4H
BRONX, NY 10466-1544
Phone number: 347-346-9278
Mailing Address
Mr. CLEVELAND SHELTON JOSEPH CASAC
4360 FURMAN AVE APT 4H
BRONX, NY 10466-1544
Phone number: 347-346-9278