Organization
VOLUNTEERS OF AMERICA-GNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN SMITH (PROGRAM DIRECTOR)
(718) 390-5142
Entity
Organization
Contact information
Practice address
2015 FOREST AVE, SUITE 2B, STATEN ISLAND, NY 10303-1736
(718) 390-5142
Mailing address
2015 FOREST AVE, SUITE 2B, STATEN ISLAND, NY 10303-1736
(718) 390-5142
(718) 876-5431
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382832
—
NY
05
—
02752798
—
NY
Enumeration date
01/29/2007
Last updated
10/02/2008
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