NPI 1114468220

Vip Community Servces

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: Kenneth Jones
Title: Clinical Cousnelor
Phone: (718) 542-8770

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1114468220
Entity type: Organization
NPI issued: 9 Mar 2017
Record last updated: 9 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.