Organization
HOUSE-A-SOLDIER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY L COLEMAN (CHIEF FINANCIAL OFFICER)
(718) 316-7508
Entity
Organization
Contact information
Practice address
11402 GUY R BREWER BLVD, JAMAICA, NY 11434-1234
(718) 316-7508
Mailing address
13449 166TH PL APT 10A, JAMAICA, NY 11434-3810
(718) 316-7508
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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