Provider Demographics
NPI:1386198117
Name:TRI CENTER
Entity Type:Organization
Organization Name:TRI CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKROBACZ
Authorized Official - Suffix:
Authorized Official - Credentials:CASAC
Authorized Official - Phone:718-584-7204
Mailing Address - Street 1:2488 GRAND CONCOURSE RM 417
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5206
Mailing Address - Country:US
Mailing Address - Phone:718-584-7204
Mailing Address - Fax:
Practice Address - Street 1:2488 GRAND CONCOURSE RM 417
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5206
Practice Address - Country:US
Practice Address - Phone:718-584-7204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health