Organization · NPI-2
106-03 Flatlands Avenue # 3a
Day Training, Developmentally Disabled Services · Brooklyn, NY
NPI number1306008347
StatusActive
Last updated in NPPESJul 1, 2008
Details
- NPI
- 1306008347
- Entity type
- Organization (NPI-2)
- Legal business name
- 106-03 Flatlands Avenue # 3a
- Organization subpart
- No
- Enumeration date
- Jul 1, 2008
- Last updated
- Jul 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | NY | Yes |
Practice location
106-03 Flatlands Avenue 3aBrooklyn, NY 11236-2922
Phone 718-927-4633
Mailing address
10603 Flatlands AveBrooklyn, NY 11236-2922
Phone 917-803-1131
Authorized official
Crystal Cheryl Johnson
Tshh
7189274633
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