Organization · NPI-2

Adult Care Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Bronx, NY

NPI number1033305891
StatusActive
Last updated in NPPESSep 14, 2007

Details

NPI
1033305891
Entity type
Organization (NPI-2)
Legal business name
Adult Care Services
Organization subpart
No
Enumeration date
Sep 14, 2007
Last updated
Sep 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801XNYYes

Practice location

1400 Pelham Pkwy S
6 A Clinic, Building 5, 6th Floor
Bronx, NY 10461-1138

Phone 718-918-4331 · Fax 718-918-7686

Mailing address

1400 Pelham Pkwy S
6 A Clinic, Building 5, 6th Floor
Bronx, NY 10461-1138

Phone 718-918-4331 · Fax 718-918-7686

Authorized official

Jason Leider
Clinic Director
7189183669

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