Provider Demographics
NPI:1821572603
Name:AJS WELLNESS CENTER ORGANIZATION, INC.
Entity Type:Organization
Organization Name:AJS WELLNESS CENTER ORGANIZATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-636-4257
Mailing Address - Street 1:33 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-3418
Mailing Address - Country:US
Mailing Address - Phone:914-636-4257
Mailing Address - Fax:914-636-4252
Practice Address - Street 1:33 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-3418
Practice Address - Country:US
Practice Address - Phone:914-636-4257
Practice Address - Fax:914-636-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management