Provider Demographics
NPI:1588815302
Name:THE ASSOCIATION FOR REHABILITATIVE CASE MANAGEMENT AND HOUSING
Entity Type:Organization
Organization Name:THE ASSOCIATION FOR REHABILITATIVE CASE MANAGEMENT AND HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PFUELB
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:212-274-8558
Mailing Address - Street 1:254 W 31ST ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2813
Mailing Address - Country:US
Mailing Address - Phone:212-274-8558
Mailing Address - Fax:212-925-7958
Practice Address - Street 1:254 W 31ST ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2813
Practice Address - Country:US
Practice Address - Phone:212-274-8558
Practice Address - Fax:212-925-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1588815302Medicaid
NY01303786Medicaid