Provider Demographics
NPI:1225174063
Name:VOLUNTEERS OF AMERICA-GNY
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA-GNY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-827-2474
Mailing Address - Street 1:205 W MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3203
Mailing Address - Country:US
Mailing Address - Phone:732-827-2474
Mailing Address - Fax:
Practice Address - Street 1:205 W MILTON AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3203
Practice Address - Country:US
Practice Address - Phone:732-827-2474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness