| Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc | |
|
1776 Clay Ave Bronx NY 10457 | |
| (718) 299-1100 | |
| (718) 716-7822 |
| Full Name | Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1776 Clay Ave, Bronx, New York |
| Authorized Official Name and Position | Vicky Gatell (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189607629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc 311 E 175th St Bronx NY 10457-5859 Ph: (718) 960-7568 | Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc 1776 Clay Ave Bronx NY 10457 Ph: (718) 299-1100 |
| NPI Number | 1295911063 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295911063 | NPI | - | NPPES |
| 02892868 | Medicaid | NY |
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