Provider Demographics
NPI:1477020865
Name:JUST BREATHE HEALING CENTER, LLC
Entity Type:Organization
Organization Name:JUST BREATHE HEALING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIFFON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:917-459-8602
Mailing Address - Street 1:731 SAW MILL RIVER RD STE 7
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1814
Mailing Address - Country:US
Mailing Address - Phone:917-459-8602
Mailing Address - Fax:914-693-2266
Practice Address - Street 1:731 SAW MILL RIVER RD STE 7
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1814
Practice Address - Country:US
Practice Address - Phone:917-459-8602
Practice Address - Fax:914-693-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty