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Organization
SAFE SPACE NYC, INC.
Active
Organization
SAFE SPACE NYC, INC.
Active
Other names
The Center for Children & Families
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN ECCLES (CONTROLLER)
(212) 886-5617
Entity
Organization
Contact information
Practice address
16318 JAMAICA AVE, JAMAICA, NY 11432-4901
(718) 206-3440
(718) 206-3638
Mailing address
8974 162ND ST, 5TH FLOOR, JAMAICA, NY 11432-5072
(718) 526-2400
(718) 526-3180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7055120A
NY
1041C0700X
Clinical Social Worker
7055120A
NY
1041C0700X
Clinical Social Worker
7055120B
NY
1041C0700X
Clinical Social Worker
7055120C
NY
2084P0800X
Psychiatry Physician
7055120A
NY
2084P0800X
Psychiatry Physician
7055120B
NY
2084P0804X
Child & Adolescent Psychiatry Physician
7055120A
NY
2084P0804X
Child & Adolescent Psychiatry Physician
7055120B
NY
2084P0804X
Child & Adolescent Psychiatry Physician
7055120C
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00368387
—
NY
Enumeration date
01/10/2007
Last updated
11/07/2016
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