Basic Information
| Provider Information | |||||||||
| NPI: | 1871642488 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FORDHAM TREMONT COMMUNITY MENTAL HEALTH CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 260 E 188TH ST | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104585302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189600260 | ||||||||
| FaxNumber: | 7189332502 | ||||||||
| Practice Location | |||||||||
| Address1: | 260 E 188TH ST | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104585302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189600260 | ||||||||
| FaxNumber: | 7189332502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2007 | ||||||||
| LastUpdateDate: | 09/20/2007 | ||||||||
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| AuthorizedOfficialLastName: | VALDES | ||||||||
| AuthorizedOfficialFirstName: | BRENDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | INTAKE WORKER | ||||||||
| AuthorizedOfficialTelephone: | 7189600260 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | Y | Hospital Units | Psychiatric Unit |
No ID Information.