Organization
I'RAISE GIRLS & BOYS INTERNATIONAL CORPROATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANEQUA E MOORE (CEO)
(718) 725-8996
Entity
Organization
Contact information
Practice address
921 E 228TH ST, BRONX, NY 10466-4611
(718) 725-8996
Mailing address
3640 WHITE PLAINS RD, BRONX, NY 10467-5726
(718) 725-8996
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
083529
NY
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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