Organization · NPI-2
Counseling Service Edny
Community/Behavioral Health · Jamaica, NY
NPI number1619104239
StatusActive
Last updated in NPPESJun 23, 2009
Details
- NPI
- 1619104239
- Entity type
- Organization (NPI-2)
- Legal business name
- Counseling Service Edny
- Organization subpart
- No
- Enumeration date
- Jun 22, 2009
- Last updated
- Jun 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 72079127 | NY | Yes |
Practice location
16318 Jamaica AveCounseling Service Of Edny
Jamaica, NY 11432-4901
Phone 718-658-0010 · Fax 718-658-2962
Mailing address
16318 Jamaica AveCounseling Service Of Edny
Jamaica, NY 11432-4901
Phone 718-658-0010 · Fax 718-658-2962
Authorized official
Kevin Costin
Executive Director
7182504833
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