Provider Demographics
NPI:1386884732
Name:CENTER FOR LIVING
Entity type:Organization
Organization Name:CENTER FOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCENEANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-712-8800
Mailing Address - Street 1:226 E 52ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6201
Mailing Address - Country:US
Mailing Address - Phone:212-712-8800
Mailing Address - Fax:212-826-8367
Practice Address - Street 1:226 E 52ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6201
Practice Address - Country:US
Practice Address - Phone:212-712-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090711661261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY090711661OtherNEW YORK STATE OFFICE OF ALCOHOL SUBSTANCE ABUSE SERVICES