| Rta Hth Inc. | |
|
22001 Jamaica Ave Queens Village NY 11428-2140 | |
| (718) 412-1848 | |
| Not Available |
| Full Name | Rta Hth Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22001 Jamaica Ave, Queens Village, New York |
| Authorized Official Name and Position | Kelly A Holmes (FOUNDER) |
| Authorized Official Contact | 7184121848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rta Hth Inc. 22919 Merrick Blvd # 541 Laurelton NY 11413-2108 Ph: (718) 412-1848 | Rta Hth Inc. 22001 Jamaica Ave Queens Village NY 11428-2140 Ph: (718) 412-1848 |
| NPI Number | 1053951038 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 03/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053951038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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