Provider Demographics
NPI:1336281286
Name:THE EDUCATIONAL ALLIANCE, INC.
Entity Type:Organization
Organization Name:THE EDUCATIONAL ALLIANCE, INC.
Other - Org Name:THE EDUCATIONAL ALLIANCE PROJECT CONTACT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QA
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-395-4425
Mailing Address - Street 1:197 EAST BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5507
Mailing Address - Country:US
Mailing Address - Phone:646-395-4360
Mailing Address - Fax:212-780-5559
Practice Address - Street 1:25-29 AVE D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009
Practice Address - Country:US
Practice Address - Phone:646-395-4405
Practice Address - Fax:212-780-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02772705Medicaid