Provider Demographics
NPI:1659969871
Name:S.W.I.S.H. UNITED, INC.
Entity Type:Organization
Organization Name:S.W.I.S.H. UNITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:347-841-6330
Mailing Address - Street 1:40 GRAHAM ST # 2
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2624
Mailing Address - Country:US
Mailing Address - Phone:347-841-6330
Mailing Address - Fax:
Practice Address - Street 1:40 GRAHAM ST # 2
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-2624
Practice Address - Country:US
Practice Address - Phone:347-841-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable