| Nine Lives Sanctuary | |
|
1136 Neill Ave Bronx NY 10461-1328 | |
| (347) 739-8770 | |
| Not Available |
| Full Name | Nine Lives Sanctuary |
|---|---|
| Speciality | Social Worker |
| Location | 1136 Neill Ave, Bronx, New York |
| Authorized Official Name and Position | Donald Eugene Cofield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3477398770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nine Lives Sanctuary Po Box 1069 Bronx NY 10462-0575 Ph: (347) 739-8770 | Nine Lives Sanctuary 1136 Neill Ave Bronx NY 10461-1328 Ph: (347) 739-8770 |
| NPI Number | 1154886372 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154886372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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