Organization · NPI-2

Acdp

Community/Behavioral Health · Bronx, NY

NPI number1871844613
StatusActive
Last updated in NPPESSep 19, 2012

Details

NPI
1871844613
Entity type
Organization (NPI-2)
Legal business name
Acdp
Organization subpart
No
Enumeration date
Sep 19, 2012
Last updated
Sep 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health086486-1NYYes

Practice location

2841 E 194th St
Bronx, NY 10461-3910

Phone 347-461-2425

Mailing address

2841 East 194 Street
Bronx, NY 10461

Phone 347-461-2425

Authorized official

Yaberci Perez-Cubillan
Clinic Director
2127815500

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