Provider Demographics
NPI:1558647313
Name:ASIAN COMMUNITY UNITED SOCIETY INC.
Entity Type:Organization
Organization Name:ASIAN COMMUNITY UNITED SOCIETY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-801-8501
Mailing Address - Street 1:1884 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-3107
Mailing Address - Country:US
Mailing Address - Phone:718-801-8501
Mailing Address - Fax:718-801-8503
Practice Address - Street 1:1884 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3107
Practice Address - Country:US
Practice Address - Phone:718-801-8501
Practice Address - Fax:718-801-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health