=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023425527
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2014
-----------------------------------------------------
Last Update Date | 07/16/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2090 ADAM CLAYTON POWELL JR BLVD 4TH FLOOR
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10027-4990
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-553-6707
-----------------------------------------------------
Fax | 212-222-2401
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2090 ADAM CLAYTON POWELL JR BLVD 4TH FLOOR
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10027-4990
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-553-6707
-----------------------------------------------------
Fax | 212-222-2401
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | MS. REBECCA ASBURY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 212-553-6305
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 082031
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------