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Organization

YOUNG ADULT INSTITUTE, INC

Active
Other names
Young Adult Institute, Inc / Fountain Ave.
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE CONTOS (CEO)
(212) 273-6206
Entity
Organization

Contact information

Practice address
888 FOUNTAIN AVE, WING 214, BROOKLYN, NY 11239-5907
(212) 273-6206
Mailing address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 273-6206

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6113102
OPWDD OPERATING CERTIFICATE
NY
Enumeration date
10/30/2015
Last updated
10/30/2015
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