Provider Demographics
NPI:1679816334
Name:GAY MEN OF AFRICAN DESCENT, INC.
Entity Type:Organization
Organization Name:GAY MEN OF AFRICAN DESCENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VAUGHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR-AKUTAGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-222-6300
Mailing Address - Street 1:44 COURT ST
Mailing Address - Street 2:10TH FLOOR SUITE 1000
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4405
Mailing Address - Country:US
Mailing Address - Phone:718-222-6300
Mailing Address - Fax:212-828-9602
Practice Address - Street 1:44 COURT ST
Practice Address - Street 2:10TH FLOOR SUITE 1000
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4405
Practice Address - Country:US
Practice Address - Phone:718-222-6300
Practice Address - Fax:212-828-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health