Provider Demographics
NPI:1831636265
Name:SHELTERING ARMS
Entity Type:Organization
Organization Name:SHELTERING ARMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK INTERN
Authorized Official - Prefix:MISS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GBAGUIDI
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:201-344-1868
Mailing Address - Street 1:14620 232ND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4443
Mailing Address - Country:US
Mailing Address - Phone:201-344-1868
Mailing Address - Fax:
Practice Address - Street 1:10000 BEACH CHANNEL DR
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11694-2818
Practice Address - Country:US
Practice Address - Phone:718-734-3290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health