Organization · NPI-2

Function Wheels LLC

Community/Behavioral Health · Bronx, NY

NPI number1659816759
StatusActive
Last updated in NPPESDec 27, 2016

Details

NPI
1659816759
Entity type
Organization (NPI-2)
Legal business name
Function Wheels LLC
Organization subpart
No
Enumeration date
Dec 27, 2016
Last updated
Dec 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251300000X Local Education Agency (LEA)––

Practice location

639 E 234th St
Bronx, NY 10466-2701

Phone 914-292-5150

Mailing address

Po Box 186
Pleasantville, NY 10570-0186

Phone 914-292-5150

Authorized official

Keith Darnell Amerson
Director Of Education
9142925150

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