Provider Demographics
NPI:1558198291
Name:YOU ARE NOT ALONE VETERANS FOUNDATION
Entity type:Organization
Organization Name:YOU ARE NOT ALONE VETERANS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-609-4239
Mailing Address - Street 1:605 PAVONIA AVE APT 4006
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2999
Mailing Address - Country:US
Mailing Address - Phone:305-954-0173
Mailing Address - Fax:
Practice Address - Street 1:605 PAVONIA AVE
Practice Address - Street 2:SUITE 4006
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306
Practice Address - Country:US
Practice Address - Phone:305-954-0173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDALR0086OtherOFFICE OF HEALTH CARE QUALITY