Organization
PROFOUND CARE LLC
Active
Parent organization
INTRACARES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTRACARES LLC
Authorized official
MRS. VALERIE CARABALLO (PRESIDENT)
(914) 618-4321
Entity
Organization
Contact information
Practice address
3300 STEUBEN AVE, BRONX, NY 10467-2806
(914) 618-4321
Mailing address
5240 NETHERLAND AVE, BRONX, NY 10471-2810
(718) 884-6547
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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