# EVELYN DOUGLIN CENTER SPIN

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

## Provider details

- **NPI number:** 1972049039
- **Authorized official:** DANIELLA VOLCY (AED)
- **Authorized official phone:** (718) 965-1998

## Contact information

- **Practice address:** 163 RIVERDALE AVE, BROOKLYN, NY 11212-5579
- **Practice address phone:** (718) 965-1998
- **Mailing address:** 241 37TH ST, BROOKLYN, NY 11232-2417
- **Mailing address phone:** (718) 965-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NY | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 02/15/2017