Organization Name: | VOLUNTEERS OF AMERICA - GREATER NEW YORK |
NPI Number: | 1013303908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERE PETTITT (PRESIDENT/CEO) |
Mailing Address: | 395 Webster Ave New Rochelle |
State: | NY US |
Postal Code: | 108013200 |
Phone Number: | 9146368689 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2015 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 171110066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |