Provider Demographics
NPI:1447664388
Name:PROJECT HOSPITALITY INC.
Entity type:Organization
Organization Name:PROJECT HOSPITALITY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROIA
Authorized Official - Suffix:
Authorized Official - Credentials:REVEREND
Authorized Official - Phone:718-448-1544
Mailing Address - Street 1:14 SLOSSON TER
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-2507
Mailing Address - Country:US
Mailing Address - Phone:718-273-8409
Mailing Address - Fax:718-273-5265
Practice Address - Street 1:14 SLOSSON TER
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2507
Practice Address - Country:US
Practice Address - Phone:718-273-8409
Practice Address - Fax:718-273-5265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROJECT HOSPITALITY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-18
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8215004A261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health