Provider Demographics
NPI:1427553718
Name:FIVE P'S CASE MANAGEMENT & MULTI SERVICE LLC
Entity Type:Organization
Organization Name:FIVE P'S CASE MANAGEMENT & MULTI SERVICE LLC
Other - Org Name:FIVE P'S CASE MANAGEMENT & MULTI SERVICE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YUSEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-813-0931
Mailing Address - Street 1:14215 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5624
Mailing Address - Country:US
Mailing Address - Phone:347-813-0931
Mailing Address - Fax:347-233-4021
Practice Address - Street 1:14215 110TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5624
Practice Address - Country:US
Practice Address - Phone:347-813-0931
Practice Address - Fax:347-233-4021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty