Organization
BEACON OF HOPE HOUSE
Active
Parent organization
CATHOLIC CHARITIES COMMUNITY SERVICES, ARCHDIOCESE OF NEW YORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES COMMUNITY SERVICES, ARCHDIOCESE OF NEW YORK
Authorized official
BEATRIZ DIAZ TAVERAS MBA (EXECUTIVE DIRECTOR)
(212) 371-1011
Entity
Organization
Contact information
Practice address
1011 1ST AVE, 11TH FLOOR, NEW YORK, NY 10022-4112
(212) 371-1011
(212) 350-9948
Mailing address
1011 1ST AVE, NEW YORK, NY 10022-4112
(212) 371-1011
(212) 350-9948
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0312954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312954
—
NY
Enumeration date
07/26/2007
Last updated
12/20/2012
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