Provider Demographics
NPI:1164941209
Name:CRISIS RECOVERY NETWORK, LLC
Entity Type:Organization
Organization Name:CRISIS RECOVERY NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMZAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMEEN
Authorized Official - Suffix:
Authorized Official - Credentials:CARC
Authorized Official - Phone:914-222-4156
Mailing Address - Street 1:21 SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:KERHONKSON
Mailing Address - State:NY
Mailing Address - Zip Code:12446-3228
Mailing Address - Country:US
Mailing Address - Phone:845-750-8034
Mailing Address - Fax:
Practice Address - Street 1:2800 BRUCKNER BLVD STE 302
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1972
Practice Address - Country:US
Practice Address - Phone:914-222-4156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210579261QP2300X
MDD0035818323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care