OrganizationActive
Coordinated Behavioral Care, Inc
NPI 1720344120 · Exclusive Provider Organization · New York, NY
Provider details
- NPI number
- 1720344120
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jorge Petit, President & Ceo(636) 930-8803
Specialties & taxonomies
Managed Care Organizations
Practice location
40 Rector St
11th Floor
New York, NY 10006-1705
Phone: (212) 385-3030
Fax: (212) 619-7275
Approximate (ZIP-level) locationGet directions
Mailing address
123 William Street
New York, NY 10038
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2018-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.