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Organization
COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization
COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M MEADE (EXECUTIVE DIRECTOR)
(718) 292-1705
Entity
Organization
Contact information
Practice address
603 MORRIS AVENUE, BRONX, NY 10451
(718) 292-1705
Mailing address
378 E 151ST ST, BRONX, NY 10455-2603
(718) 292-1705
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00813103
—
NY
Enumeration date
12/13/2006
Last updated
10/11/2007
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