Organization Name: | BLANTON-PEALE INSTITUTE |
NPI Number: | 1225195787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN KENNEDY SPRINGER (CLINIC DIRECTOR) |
Mailing Address: | 7 West 30th Street 9th Floor New York City |
State: | NY US |
Postal Code: | 10001 |
Phone Number: | 2127257850 |
Fax Number: | 2129674919 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6673100A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |