CHARLES CLARK

BROOKLYN, NY
NPI1588981542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17173)
Enumeration Date2010-04-29
Last Update Date2010-04-29
Business Address
-- CHARLES CLARK CASAC
2640 PITKIN AVE
BROOKLYN, NY 11208-2629
Phone number: 718-827-8700
Mailing Address
-- CHARLES CLARK CASAC
2640 PITKIN AVE
BROOKLYN, NY 11208-2629
Phone number: 718-827-8700
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