Organization
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
Active
Other names
PROMESA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON DERIENZO (CFO)
(347) 649-3083
Entity
Organization
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457
(718) 299-1100
(718) 716-7822
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 299-1100
(718) 716-7822
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
07/02/2018
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