# COMMUNITY COUNSELING & MEDIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Treatment Another Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639393101
- **Authorized official:** MR. EMORY XAVIER BROOKS (PRESIDENT AND CEO)
- **Authorized official phone:** (718) 802-0666

## Contact information

- **Practice address:** 115 W 31ST ST, 5TH FLOOR, NEW YORK, NY 10001-3403
- **Practice address phone:** (212) 564-6006
- **Practice address fax:** (212) 564-3440
- **Mailing address:** 115 W 31ST ST, 5TH FLOOR, NEW YORK, NY 10001-3403
- **Mailing address phone:** (212) 564-6006
- **Mailing address fax:** (212) 564-3440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 7655430 | NY | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020
