Organization
A&M AND ASSOCIATES LLC
Active
Parent organization
UNDER THE ROOF LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNDER THE ROOF LLC
Authorized official
MR. ERIC LESLIE HUTCHINSON SR. CASAC (C.E.O.)
(347) 317-9181
Entity
Organization
Contact information
Practice address
9531 JAMAICA AVE, WOODHAVEN, NY 11421-2224
(718) 600-6045
(347) 332-8392
Mailing address
17919 SELOVER RD, JAMAICA, NY 11434-3409
(347) 317-9181
(347) 332-8392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20049
NY
1041C0700X
Clinical Social Worker
Primary
072343
NY
106H00000X
Marriage & Family Therapist
072343
NY
251B00000X
Case Management Agency
20049
NY
251S00000X
Community/Behavioral Health Agency
072343
NY
251T00000X
PACE Provider Organization
20049
NY
251V00000X
Voluntary or Charitable Agency
20049
NY
252Y00000X
Early Intervention Provider Agency
20049
NY
343900000X
Non-emergency Medical Transport (VAN)
20049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250677
—
NY
Enumeration date
02/01/2016
Last updated
02/27/2017
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