Organization
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY GATELL (CFO)
(718) 960-7629
Entity
Organization
Contact information
Practice address
303 MAIN ST, DUNKIRK, NY 14048-2718
(716) 413-4661
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7299
(718) 299-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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