Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WOODLOCK LCSWR (CEO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
991 MONTGOMERY ST APT 1R, BROOKLYN, NY 11213-5740
(347) 445-7334
Mailing address
991 MONTGOMERY ST APT 1R, BROOKLYN, NY 11213-5740
(347) 445-7334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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