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Organization

ELECTRICO DE AGUADA ORGANIZATION INC.

Active
Other names
ELECTRICO DE AGUADA ORGANIZATION INC., LAST CHANCE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HERIBERTO ECHEVARRIA JR. (PRESIDENT/EXECUTIVE DIRECTOR)
(929) 491-9962
Entity
Organization

Contact information

Practice address
64 11TH AVE, HUNTINGTON STATION, NY 11746-2226
(929) 491-9962
Mailing address
64 11TH AVE, HUNTINGTON STATION, NY 11746-2226
(929) 491-9962

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171W00000X
Contractor
174200000X
Meals Provider
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
261QC1500X
Community Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
261QP2400X
Prison Health Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
12/18/2024
Last updated
12/08/2025
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