Congregation Linked in Urban Strategy to Effect Renewal

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CONGREGATION LINKED IN URBAN STRATEGY TO EFFECT RENEWAL

Practice address

20 S Broadway
Ste 501
Yonkers, NY 10701-3713

Phone

(914) 963-6440

Fax

(914) 963-4566

NPI assigned

Jul 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Toni Volchok

Title

Executive Director

Phone

(914) 963-6440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cluster, Inc. Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538367974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY",
            "address_2": "STE 501",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY",
            "address_2": "STE 501",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013713",
            "telephone_number": "914-963-6440",
            "fax_number": "914-963-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGREGATION LINKED IN URBAN STRATEGY TO EFFECT RENEWAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLCHOK",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-963-6440"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cluster, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.