Organization
REBUILDING THE BLACK NUCLEAR FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EVANS (FOUNDER AND CEO)
(929) 709-7718
Entity
Organization
Contact information
Practice address
350 SNEDIKER AVE APT 204, BROOKLYN, NY 11207-4521
(929) 709-7718
Mailing address
350 SNEDIKER AVE APT 204, BROOKLYN, NY 11207-4521
(929) 709-7718
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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