Provider Demographics
NPI:1811238991
Name:PROJECT REDIRECT INC
Entity Type:Organization
Organization Name:PROJECT REDIRECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:C
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-422-8833
Mailing Address - Street 1:133 E MAIN ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3517
Mailing Address - Country:US
Mailing Address - Phone:631-422-8833
Mailing Address - Fax:631-422-8836
Practice Address - Street 1:133 E MAIN ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3517
Practice Address - Country:US
Practice Address - Phone:631-422-8833
Practice Address - Fax:631-422-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty