Organization
INTAKE CONNECT CHILD SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELDA VASQUEZ AGUSTIN (PRESIDENT)
(917) 942-9963
Entity
Organization
Contact information
Practice address
6171 TYNDALL AVE, BRONX, NY 10471-1118
(917) 942-9963
Mailing address
6171 TYNDALL AVE, BRONX, NY 10471-1118
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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