Organization
EIHAB HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMA ABBOUD (EXECUTIVE DIRECTOR)
(718) 276-6101
Entity
Organization
Contact information
Practice address
1200 STATE ROUTE 92 SOUTH, TUNKHANNOCK, NY 18657
(570) 388-6155
(570) 388-6979
Mailing address
16818 S CONDUIT AVE, JAMAICA, NY 11434-4899
(718) 276-6101
(718) 276-6063
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
323P00000X
PA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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