Provider Demographics
NPI:1972989309
Name:CORONA SELF HELP CENTER INC.
Entity Type:Organization
Organization Name:CORONA SELF HELP CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-355-3473
Mailing Address - Street 1:171 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1437
Mailing Address - Country:US
Mailing Address - Phone:917-675-4334
Mailing Address - Fax:917-512-4563
Practice Address - Street 1:171 MARKET ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1437
Practice Address - Country:US
Practice Address - Phone:917-675-4334
Practice Address - Fax:917-512-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health