Provider Demographics
NPI:1154899052
Name:VOLUNTEERS OF AMERICA - GREATER NEW YORK
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA - GREATER NEW YORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEC. ASST. CEO
Authorized Official - Prefix:
Authorized Official - First Name:ORIETTA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-496-4303
Mailing Address - Street 1:205 W MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3203
Mailing Address - Country:US
Mailing Address - Phone:732-827-2472
Mailing Address - Fax:
Practice Address - Street 1:530 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-1835
Practice Address - Country:US
Practice Address - Phone:732-827-2472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness