AQUILES MOUTHON

ASTORIA, NY
NPI1912383050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  28649)
Enumeration Date2015-07-30
Last Update Date2015-07-30
Business Address
AQUILES MOUTHON CASAC-T
3114 30TH AVE 2ND FLOOR
ASTORIA, NY 11102-1530
Phone number: 718-204-1200
Mailing Address
AQUILES MOUTHON CASAC-T
3114 30TH AVE 2ND FLOOR
ASTORIA, NY 11102-1530
Phone number: 718-204-1200
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