Organization
H.O.M.E.E. CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELEANOR CLARKE RN, MS (EXECUTIVE DIRECTOR)
(718) 991-0071
Entity
Organization
Contact information
Practice address
695 E 170TH ST, BRONX, NY 10456-2334
(718) 991-0071
(718) 893-5886
Mailing address
695 E 170TH ST, BRONX, NY 10456-2334
(718) 991-0071
(718) 893-5886
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
7595430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01304989
—
NY
Enumeration date
08/10/2007
Last updated
08/10/2007
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