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Organization
NEIGHBORHOOD CHANGE YOUTH ORGANIZATION
Active
Organization
NEIGHBORHOOD CHANGE YOUTH ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKISHA COLLINS (DIRECTOR)
(646) 600-1843
Entity
Organization
Contact information
Practice address
88 SENECA ST, STATEN ISLAND, NY 10310-2334
(646) 600-1843
Mailing address
88 SENECA ST, STATEN ISLAND, NY 10310-2334
(646) 600-1843
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
609775
NY
251S00000X
Community/Behavioral Health Agency
609775
NY
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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