Organization
VIDA FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE L LORA (COMPTROLLER)
(212) 289-1004
Entity
Organization
Contact information
Practice address
127 E 105TH ST, NEW YORK, NY 10029-4917
(212) 289-1004
(212) 987-2787
Mailing address
127 E 105TH ST, NEW YORK, NY 10029-4917
(212) 289-1004
(212) 987-2787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170811100
NY
Other
Enumeration date
12/19/2006
Last updated
10/22/2014
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