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Organization
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
Active
Organization
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
Active
Parent organization
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
Other names
PROMESA Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7568
Entity
Organization
Contact information
Practice address
1776 CLAY AVENUE, BRONX, NY 10457
(718) 299-1100
(718) 716-7822
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7568
(718) 716-7822
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
NY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
170912043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02999571
—
NY
Enumeration date
11/21/2005
Last updated
09/23/2022
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