Organization
PIBLY RESIDENTIAL PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELIN ENID WEISS LMSW (ASSOCIATE EXECUTIVE DIRECTOR)
(718) 863-4100
Entity
Organization
Contact information
Practice address
2415 WESTCHESTER AVENUE, BRONX, NY 10461
(718) 863-4100
(718) 863-5165
Mailing address
2415 WESTCHESTER AVENUE, BRONX, NY 10461
(718) 863-4100
(718) 863-5165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
035393
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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