=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588815302
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE ASSOCIATION FOR REHABILITATIVE CASE MANAGEMENT AND HOUSING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2008
-----------------------------------------------------
Last Update Date | 04/03/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 254 W 31ST ST FL 9
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10001-2813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-274-8558
-----------------------------------------------------
Fax | 212-925-7958
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 254 W 31ST ST FL 9
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10001-2813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-274-8558
-----------------------------------------------------
Fax | 212-925-7958
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | MR. GEORGE PFUELB
-----------------------------------------------------
Credential | CFO
-----------------------------------------------------
Telephone | 212-274-8558
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320800000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------