Organization · NPI-2
Protect The Angels INC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Corona, NY
NPI number1114599875
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1114599875
- Entity type
- Organization (NPI-2)
- Legal business name
- Protect The Angels INC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
10501 34th AveCorona, NY 11368-1109
Phone 718-458-1286 · Fax 888-698-0829
Mailing address
10501 34th AveCorona, NY 11368-1109
Phone 718-458-1286 · Fax 888-698-0829
Authorized official
Carmen J Jimenez
Executive Director
7184581286
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