Organization
BLOCK INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M DOLD (CONTROLLER)
(718) 906-5440
Entity
Organization
Contact information
Practice address
3094 BRIGHTON 5TH ST, APT. E3, BROOKLYN, NY 11235-7041
(718) 646-2940
Mailing address
376 BAY 44TH ST, BROOKLYN, NY 11214-7103
(718) 906-5400
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7455449
NY
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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