Organization Name: | CONNECTING FOR PURPOSE |
NPI Number: | 1558738831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE RAYSOR (EXECUTIVE DIRECTOR) |
Mailing Address: | 654 Meade Ave Bellport |
State: | NY US |
Postal Code: | 117131653 |
Phone Number: | 6313941805 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2015 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 00073712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |