Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JABLONS (DIRECTOR)
(718) 272-3300
Entity
Organization
Contact information
Practice address
971 JEROME STREET, BROOKLYN, NY 11207-9252
(718) 272-3300
Mailing address
971 JEROME ST, BROOKLYN, NY 11207-9252
(718) 272-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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