Organization
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC
Active
Other names
Promesa Inc
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7629
Entity
Organization
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457
(718) 299-1100
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7568
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
170811936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03012360
—
NY
Enumeration date
02/11/2008
Last updated
09/23/2022
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