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CH021770 UNDER 21 INC (Active)
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Main Details
Name
UNDER 21 INC
Subdivision Name
COVENANT HOUSE-UNDER 21
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003760
340B ID
CH021770
Grant Number
H80CS00013
Additional Details
Current Program Status
Active
Registration Date
8/17/2006
Participating Start Date
10/1/2006
Participating Approval Date
8/23/2006
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
Under 21
Shakeema North, Chief Executive Officer
(646) 421-6278
Primary Contact
Covenant House New York
Jeanette Torres, Health Center Administrator
(646) 969-6884
Addresses
Street Address
460 W 41st St
New York, NY 10036-6801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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