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PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC NPI 1295911063


NPI Information

NPI: 1295911063
Provider Name: PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC

Doing Business As: PROMESA INC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1776 CLAY AVE
BRONX, NY
ZIP 10457
Phone: (718) 299-1100
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PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC is a substance abuse rehabilitation facility in Bronx, NY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC NPI is 1295911063. The provider is registered as an organization entity type.
The provider Is Doing Business As Promesa Inc.

The provider's business location address is:

1776 CLAY AVE
BRONX, NY
ZIP 10457
Phone: (718) 299-1100
Fax: (718) 716-7822

The provider's authorized official is Lymaris Albors .
The authorized official title is Coo And Evp and has the following contact phone number (347) 649-3295.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 12/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)8157008ANEW YORKNo
2324500000XSubstance Abuse Rehabilitation Facility080811627NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102892868MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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