PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC NPI 1508849993

NPI Information

PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC is a methadone clinic center in Bronx, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC NPI is 1508849993. 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 AVENUE
BRONX, NY
ZIP 10457
Phone: (718) 299-1100
Fax: (718) 716-7822

The provider's authorized official is Milton Derienzo .
The authorized official title is Chief Financial Officer and has the following contact phone number (347) 649-3083.

The CLIA number assigned to this NPI record is 33D2154854 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 7/2/2018.

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:

Other Identifiers

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

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