Lifeline Center For Child Development
Case Manager/Care Coordinator in Queens Village, NY. Organization (NPI-2).
NPI number1164033130
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1164033130
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeline Center For Child Development
- Organization subpart
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
8009 Winchester BlvdQueens Village, NY 11427-2198
Phone 631-495-6486
Mailing address
8009 Winchester BlvdQueens Village, NY 11427-2198
Phone 631-495-6486
Authorized official
Tanya Simon
Executive Director
6314956486
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