| Therapeutic Intervention Programs, Inc | |
|
11711 Francis Lewis Blvd Cambria Heights NY 11411-1521 | |
| (917) 270-5558 | |
| (347) 594-5793 |
| Full Name | Therapeutic Intervention Programs, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11711 Francis Lewis Blvd, Cambria Heights, New York |
| Authorized Official Name and Position | Andrea C Mcneil Tucker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9172705558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Intervention Programs, Inc 11711 Francis Lewis Blvd Cambria Heights NY 11411-1521 Ph: (917) 270-5558 | Therapeutic Intervention Programs, Inc 11711 Francis Lewis Blvd Cambria Heights NY 11411-1521 Ph: (917) 270-5558 |
| NPI Number | 1750435913 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750435913 | NPI | - | NPPES |
| 533116 | Medicaid | NY | |
| 533116 | Other | NY | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R053103-1 (New York) | Primary |
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