Organization
ASSOCIATION TO BENEFIT CHILDREN-FAST BREAK MOBILE MENTAL HEALTH CLINIC
Active
Parent organization
ASSOCIATION TO BENEFIT CHILDREN
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATION TO BENEFIT CHILDREN
Authorized official
DR. ADAM LECZYCKI (PROGRAM DIRECTOR)
(646) 459-6166
Entity
Organization
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6142
Mailing address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
075566
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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