Organization
FORDHAM TREMONT
Active
Other names
Lais Program
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYDIA RIVERIA LMSW (DIRECTOR)
(718) 960-0200
Entity
Organization
Contact information
Practice address
2021 GRAND CONCOURSE, FORDHAM TREMONT - LAIS PROGRAM, BRONX, NY 10453-4304
(718) 960-0200
Mailing address
2021 GRAND CONCOURSE, FORDHAM TREMONT - LAIS PROGRAM, BRONX, NY 10453-4304
(718) 960-0200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
13174012
NY
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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