BRONX LEBANON HOSPITAL LIFE RECOVERY CENTER NPI 1578955951

NPI Information

NPI: 1578955951
Provider Name: BRONX LEBANON HOSPITAL LIFE RECOVERY CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1285 FULTON AVE
BRONX, NY
ZIP 10456
Phone: (718) 518-3711
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BRONX LEBANON HOSPITAL LIFE RECOVERY CENTER is a mental health (including community mental health center) clinic center in Bronx, NY. BRONX LEBANON HOSPITAL LIFE RECOVERY CENTER NPI is 1578955951. The provider is registered as an organization entity type.

The provider's business location address is:

1285 FULTON AVE
BRONX, NY
ZIP 10456-401
Phone: (718) 518-3711

The provider's authorized official is Demetria Nelson .
The authorized official title is Program Administrator and has the following contact phone number (718) 518-3736.

The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/23/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0738591	NEW YORK	Yes

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

NPI Synchronization or Removal

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