GOTHAM

Intermediate Care Facility, Mental Illness

Active Organization
NPI: 1114213824

Practice Address

116 JOHN ST.
New York, NY 10038

Phone: (212) 385-0086

Specialties

Specialty Code Primary License
Intermediate Care Facility, Mental Illness 310500000X Yes 641372 (NY)

Frequently Asked Questions

NPI 1114213824 is the National Provider Identifier for GOTHAM, a Intermediate Care Facility, Mental Illness provider located in New York, NY. This NPI was enumerated on June 21, 2011.

Quick Facts

NPI
1114213824
Type
Organization
Enumerated
Jun 21, 2011
Last Updated
Jun 21, 2011

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