Whalio Doctors

NPI 1033659263

Vip Community Services

Organisation Substance Abuse Rehabilitation Facility Bronx, NY

Practice location

Address
764 E 176th St, Bronx, NY 10460-4606
Phone
(718) 542-8770
Fax
(718) 617-4054

Authorised official

Name
Robert Griset
Title
Cl.Supervisor
Phone
(718) 542-8770

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 21275 (NY)

Registry record

NPI
1033659263
Entity type
Organization
NPI issued
7 Mar 2017
Record last updated
7 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.