Organization
SUCCESS COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY G FRUIT (EXECUTIVE DIRECTOR)
(608) 347-6649
Entity
Organization
Contact information
Practice address
139 W 168TH STREET, BRONX, NY 10452-5401
(718) 538-6112
(718) 992-3584
Mailing address
139 W 168TH STREET, BRONX, NY 10452-5401
(718) 538-6112
(718) 992-3584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
051111032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061847
—
NY
Enumeration date
10/31/2006
Last updated
12/15/2022
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