Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD DEWEY (CFO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
2384 ATLANTIC AVE, 4TH FLOOR, BROOKLYN, NY 11233-3402
(718) 272-6025
Mailing address
2384 ATLANTIC AVE, 4TH FLOOR, BROOKLYN, NY 11233-3402
(718) 272-6025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1205083672
NY
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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