Healthcare Provider Details

I. General information

NPI: 1467872804
Provider Name (Legal Business Name): CHDFS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 W 38TH ST SUITE 817
NEW YORK NY
10018-2913
US

IV. Provider business mailing address

307 W 38TH ST SUITE 817
NEW YORK NY
10018-2913
US

V. Phone/Fax

Practice location:
  • Phone: 212-695-4564
  • Fax: 212-695-4561
Mailing address:
  • Phone: 212-695-4564
  • Fax: 212-695-4561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIO E BARROS
Title or Position: CEO
Credential: MSW PHD
Phone: 212-695-4562