Organization
PROJECT HOSPITALITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY TROIA M.A., D.D. (EXECUTIVE DIRECTOR)
(718) 448-1544
Entity
Organization
Contact information
Practice address
150C RICHMOND TER, STATEN ISLAND, NY 10301-1901
(718) 420-1475
(718) 420-1487
Mailing address
100 PARK AVE, STATEN ISLAND, NY 10302-1440
(718) 448-1544
(718) 720-5476
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
8215004A
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
8215004A
NY
261QM0850X
Adult Mental Health Clinic/Center
8215004A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01745555
—
NY
Enumeration date
03/26/2007
Last updated
06/16/2015
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