Organization
PSCH. INC
Active
Other names
Promoting Specialized Care & Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE RIVERA-HERRERA (VP FINANCE CLINICAL SERVICES)
(347) 542-4217
Entity
Organization
Contact information
Practice address
543 11TH ST, BROOKLYN, NY 11215-4303
(718) 445-4700
Mailing address
142-02 20TH AVE, 3RD FLOOR, FLUSHING, NY 11351
(718) 559-0555
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
01410791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01410791
—
NY
Enumeration date
12/20/2006
Last updated
02/24/2015
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