Provider Demographics
NPI:1124315593
Name:UNION SETTLEMENT MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:UNION SETTLEMENT MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-828-6033
Mailing Address - Street 1:2089 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-2184
Mailing Address - Country:US
Mailing Address - Phone:212-828-6144
Mailing Address - Fax:
Practice Address - Street 1:2089 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2184
Practice Address - Country:US
Practice Address - Phone:212-828-6144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management