OUR LADY OF MERCY MHC; NPI #1023130580

Contact Information

OUR LADY OF MERCY MHC

4401 BX. BOULEVARD
BRONX, NY 10470

Phone: 718-304-7022
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for OUR LADY OF MERCY MHC

NPI Number 1023130580

LBN Legal business name OUR LADY OF MERCY MHC

Authorized official LATONDRA BLACK - (THERAPIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/04/2007

Last updated 06/24/2008 - About 18 years ago

Identifiers

License #

071466-1

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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