| Ile Olodumare Ife Ifa | |
|
100 Coop City Blvd Apt 15c Bronx Nyc NY 10475-3800 | |
| (917) 645-6886 | |
| Not Available |
| Full Name | Ile Olodumare Ife Ifa |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 Coop City Blvd Apt 15c, Nyc, New York |
| Authorized Official Name and Position | Craig Plummer (REVERAND) |
| Authorized Official Contact | 9176456886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ile Olodumare Ife Ifa 100 Coop City Blvd Apt 15c Bronx Nyc NY 10475 Ph: (917) 645-6886 | Ile Olodumare Ife Ifa 100 Coop City Blvd Apt 15c Bronx Nyc NY 10475-3800 Ph: (917) 645-6886 |
| NPI Number | 1063193423 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063193423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Associates In Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E 50 St, Suite 106, Nyc, NY 10022 Phone: 212-688-4677 | |
Ile Olodumare Ife Ifa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Coop City Blvd Apt 15j, Bronx, Nyc, NY 10475 Phone: 917-645-6886 |