| Paul J. Cooper Center For Human Services Inc | |
|
510 Gates Ave Brooklyn NY 11216-1506 | |
| (718) 498-5555 | |
| (718) 498-6868 |
| Full Name | Paul J. Cooper Center For Human Services Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 510 Gates Ave, Brooklyn, New York |
| Authorized Official Name and Position | Javier Guerrero (CFO) |
| Authorized Official Contact | 7184985555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul J. Cooper Center For Human Services Inc 510 Gates Ave Brooklyn NY 11216-1506 Ph: (718) 498-5555 | Paul J. Cooper Center For Human Services Inc 510 Gates Ave Brooklyn NY 11216-1506 Ph: (718) 498-5555 |
| NPI Number | 1801817093 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801817093 | NPI | - | NPPES |
| 00244931 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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