Provider Demographics
NPI:1164764460
Name:PRETTY PADDED ROOM
Entity Type:Organization
Organization Name:PRETTY PADDED ROOM
Other - Org Name:SAFESPACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-586-7639
Mailing Address - Street 1:508 W 29TH ST
Mailing Address - Street 2:#12
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1316
Mailing Address - Country:US
Mailing Address - Phone:917-586-7639
Mailing Address - Fax:
Practice Address - Street 1:508 W 29TH ST
Practice Address - Street 2:#12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1316
Practice Address - Country:US
Practice Address - Phone:917-586-7639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty