Organization
BYL- TAEJAH LLC
Active
Organization
BYL- TAEJAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARSHA THOMAS-RICHARDSON PHD, HS-BCP, CASAC-M (CEO)
(718) 696-8124
Entity
Organization
Contact information
Practice address
1953 NEREID AVE, BRONX, NY 10466-1247
(718) 696-8124
Mailing address
1953 NEREID AVE, BRONX, NY 10466-1247
(718) 696-8124
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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