Provider Demographics
NPI:1013434679
Name:COMMUNITY ALLIANCE SERVICES INC.
Entity type:Organization
Organization Name:COMMUNITY ALLIANCE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-403-3145
Mailing Address - Street 1:109 SCOTLAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5968
Mailing Address - Country:US
Mailing Address - Phone:201-403-3145
Mailing Address - Fax:
Practice Address - Street 1:20540 NE 15TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2130
Practice Address - Country:US
Practice Address - Phone:786-290-2517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty