# FORDHAM TREMONT CMHC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528389343
- **Authorized official:** MR. EDGARDO QUINONES LCSW (DIVISION DIRECTOR)
- **Authorized official phone:** (718) 960-2402

## Contact information

- **Practice address:** 260 E 188TH ST, 5TH FLOOR, BRONX, NY 10458-5302
- **Practice address phone:** (718) 960-3433
- **Practice address fax:** (718) 933-2502
- **Mailing address:** 260 E 188TH ST, 5TH FLOOR, BRONX, NY 10458-5302
- **Mailing address phone:** (718) 960-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 06/16/2010
