Provider Demographics
NPI:1902029150
Name:SOCIAL ACTION CENTER, INC.
Entity Type:Organization
Organization Name:SOCIAL ACTION CENTER, INC.
Other - Org Name:SOCIAL ACTION CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VANRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-654-1815
Mailing Address - Street 1:665 PELHAM PKWY N
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8068
Mailing Address - Country:US
Mailing Address - Phone:718-654-1815
Mailing Address - Fax:718-654-1818
Practice Address - Street 1:665 PELHAM PKWY N
Practice Address - Street 2:SUITE 401
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8068
Practice Address - Country:US
Practice Address - Phone:718-654-1815
Practice Address - Fax:718-654-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02197235251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management