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NPI Code Detail

MEDICARE: VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES, INC

MEDICARE: VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility
2320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1053866954
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES, INC
Provider Business Mailing Address
First Line : 770 E 176TH ST FL 4
Second Line :
City : BRONX
State : NY
Zip : 10460-4617
Country : US
Telephone Number : 718-548-5150
Fax Number :
Provider Business Practice Location Address
First Line : 764 E 176TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-4606
Country : US
Telephone Number : 718-583-5150
Fax Number :
Authorized Official
Title or Position : CEO
Name : DEBBIAN FLETCHER-BLAKE
Credential :
Telephone Number : 718-583-5150
Provider Enumeration Date : 08/20/2016
Last Update Date : 06/15/2020

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Directions to “VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES, INC ” Practice Location

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