Provider Demographics
NPI:1336627728
Name:ARC. TRANSITIONAL MINDS. INC.
Entity type:Organization
Organization Name:ARC. TRANSITIONAL MINDS. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYONA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-468-2448
Mailing Address - Street 1:2770 W 5TH ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4202
Mailing Address - Country:US
Mailing Address - Phone:347-468-2448
Mailing Address - Fax:
Practice Address - Street 1:2770 W 5TH ST APT 3C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4202
Practice Address - Country:US
Practice Address - Phone:347-468-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency