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Organization
NEW YORK FOUNDLING
Active
Organization
NEW YORK FOUNDLING
Active
Other names
Evelyn Douglin Center ICF- Chester
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MOJICA (BILLING CREDENTIALING MANAGER)
(917) 485-7291
Entity
Organization
Contact information
Practice address
470 CHESTER ST, BROOKLYN, NY 11212-5505
(718) 965-1998
Mailing address
590 AVENUE OF AMERICAS, 10TH, NEW YORK, NY 10011
(917) 485-7291
(917) 485-7590
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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