| Vip Community Services, Inc. | |
|
770 E 176th St Bronx NY 10460-4617 | |
| (718) 583-5150 | |
| Not Available |
| Full Name | Vip Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 770 E 176th St, Bronx, New York |
| Authorized Official Name and Position | Debbian Fletcher-blake (CEO) |
| Authorized Official Contact | 7185835150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Community Services, Inc. 770 E 176th St Bronx NY 10460-4617 Ph: (718) 583-5150 | Vip Community Services, Inc. 770 E 176th St Bronx NY 10460-4617 Ph: (718) 583-5150 |
| NPI Number | 1699136622 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699136622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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