Provider Demographics
NPI:1477700839
Name:GEEL COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:GEEL COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LUISA
Authorized Official - Last Name:MATIAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:718-367-1900
Mailing Address - Street 1:2516 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-4205
Mailing Address - Country:US
Mailing Address - Phone:718-367-1900
Mailing Address - Fax:718-365-0252
Practice Address - Street 1:2516 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-4205
Practice Address - Country:US
Practice Address - Phone:718-367-1900
Practice Address - Fax:718-365-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32080000X320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01304934Medicaid