# COORDINATED BEHAVIORAL CARE IPA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457881443
- **Authorized official:** DANIKA MILLS LCSW,LCAT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (646) 930-8803

## Contact information

- **Practice address:** 1401 TELLER AVE, BRONX, NY 10456-1002
- **Practice address phone:** (718) 215-2100
- **Practice address fax:** (718) 293-3815
- **Mailing address:** 123 WILLIAM ST FL 19, NEW YORK, NY 10038-3804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 03/17/2018